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去甲斑蝥素钠与参麦注射液联合化疗对乳腺癌术后患者安全性的临床研究

Clinical study on safety of cantharidin sodium and shenmai injection combined with chemotherapy in treating patients with breast cancer postoperatively.

作者信息

Wang Lin, Huang Xin-En, Cao Jie

机构信息

Department of Chemotherapy, the Affiliated Jiangsu Cancer Hospital of Nanjing Medical University and Jiangsu Institute of Cancer Research, Nanjing, China E-mail : huangxinen06 @aliyun.com.

出版信息

Asian Pac J Cancer Prev. 2014;15(14):5597-600. doi: 10.7314/apjcp.2014.15.14.5597.

Abstract

OBJECTIVES

To assess side effects on Cantharidin sodium and Shenmai injection combined with chemotherapy in treating patients with breast cancer postoperatively.

METHOD

Patients with breast cancer receiving postoperative chemotherapy were retrospectively collected, and divided into four groups: group A with cantharidin sodium injection combined with chemotherapy; group B with Shenmai injection combined with chemotherapy; group C with both cantharidin sodium and Shenmai injection combined with chemotherapy; while group D (control group) received chemotherapy alone. All patients were administered docetaxel at a dose of 75 mg/m2 on day 1, epirubicin hydrochloride at a dose of 60 mg/m2 on day 1, and cyclophosphamide at a dose of 500 mg/m2 on day 1 for 3 cycles (repeated at 21 day intervals). After ≥ three courses of treatment, quality of life and side effects were evaluated.

RESULTS

There were a total of 78 patients in this study, and the incidence of leukopenia and gastrointestinal reactions in groups A and B were lower than those in the control group and lowest in group C (p<0.05).

CONCLUSIONS

Thus cantharidin sodium and Shenmai injection combined with chemotherapy reduce side effects and deserve to be further investigated in randomized clinical control trials.

摘要

目的

评估去甲斑蝥素钠与参麦注射液联合化疗对乳腺癌术后患者的副作用。

方法

回顾性收集接受术后化疗的乳腺癌患者,分为四组:A组为去甲斑蝥素钠注射液联合化疗;B组为参麦注射液联合化疗;C组为去甲斑蝥素钠与参麦注射液联合化疗;D组(对照组)单纯接受化疗。所有患者均在第1天给予多西他赛75mg/m²、第1天给予表柔比星盐酸盐60mg/m²、第1天给予环磷酰胺500mg/m²,共3个周期(每21天重复一次)。治疗≥三个疗程后,评估生活质量和副作用。

结果

本研究共78例患者,A组和B组白细胞减少及胃肠道反应发生率低于对照组,C组最低(p<0.05)。

结论

因此,去甲斑蝥素钠与参麦注射液联合化疗可减少副作用,值得在随机临床对照试验中进一步研究。

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