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[普瑞巴林治疗结直肠癌患者奥沙利铂所致感觉神经病变的显著疗效]

[Promising effects of pregabalin in the treatment of oxaliplatin-induced sensory neuropathy in patients with colorectal carcinoma].

作者信息

Nagahara Hisashi, Noda Eiji, Maeda Kiyoshi, Inoue Toru, Hirakawa Toshiki, Hasegawa Tsuyoshi, Shibutani Masatsune, Hirakawa Kosei

机构信息

Dept. of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan.

出版信息

Gan To Kagaku Ryoho. 2013 Sep;40(9):1181-3.

Abstract

Thirteen patients with metastatic colorectal cancer who suffered from oxaliplatin-induced sensory neuropathy were evaluated to determine the neuropathy Grade before and after the administration of pregabalin. All patients received oxaliplatin as adjuvant or first-line chemotherapy. The mFOLFOX6 and CapeOX groups included 3 and 10 cases, respectively, and the average treatment regimens were 8 and 5 doses, respectively. Before receiving pregabalin, sensory neuropathy was classified as Grade 3 in 2 patients, as Grade 2 in 8 patients, and as Grade 1 in 3 patient. The average amount of pregabalin administered to patients was 237 (range: 150-450) mg. After administering pregabalin, we observed improvements in 8 neuropathy cases (61. 5%)within approximately 2 weeks. All side effects were mild. In this study, pregabalin was shown to positively impact sensory neuropathy resulting from oxaliplatin treatment and to enable the long-term use of oxaliplatin-based chemotherapy.

摘要

对13例患有奥沙利铂引起的感觉神经病变的转移性结直肠癌患者进行评估,以确定服用普瑞巴林前后的神经病变分级。所有患者均接受奥沙利铂作为辅助或一线化疗。mFOLFOX6组和CapeOX组分别有3例和10例,平均治疗疗程分别为8个剂量和5个剂量。在接受普瑞巴林治疗前,2例患者的感觉神经病变分类为3级,8例为2级,3例为1级。患者服用普瑞巴林的平均剂量为237(范围:150 - 450)mg。服用普瑞巴林后,我们观察到约2周内8例(61.5%)神经病变情况有所改善。所有副作用均较轻微。在本研究中,普瑞巴林被证明对奥沙利铂治疗引起的感觉神经病变有积极影响,并能使基于奥沙利铂的化疗得以长期使用。

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