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一项随机试验(化疗与放疗对比)中不可切除非小细胞肺癌患者报告的毒性、身体功能及日常活动情况

Toxicity, physical function and everyday activity reported by patients with inoperable non-small cell lung cancer in a randomized trial (chemotherapy versus radiotherapy).

作者信息

Kaasa S, Mastekaasa A, Thorud E

机构信息

Department of Medical Oncology and Radiotherapy, Norwegian Radium Hospital, Oslo.

出版信息

Acta Oncol. 1988;27(4):343-9. doi: 10.3109/02841868809093552.

Abstract

In a randomized trial, patients with inoperable non-small cell lung cancer with limited disease were randomly given either radiotherapy (42 Gy) or combination chemotherapy with cisplatin, 70 mg/m2, and etoposide, 100 mg/m2, given every third week with a maximum of 4 cycles. The patients were asked to fill in a questionnaire concerning psychosocial well-being, medical and treatment related symptoms, physical function and everyday activity. Of the chemotherapy patients 61% reported nausea 5 weeks after their last chemotherapy session and 44% had spells of vomiting. Only 14% of the radiotherapy patients had nausea and 5% vomited 14 weeks after start of treatment. Of the radiotherapy patients 64% experienced dysphagia compared to 8% of the chemotherapy patients 6 weeks after the start of treatment.

摘要

在一项随机试验中,对患有局限性不可手术非小细胞肺癌的患者随机给予放射治疗(42 Gy)或顺铂(70 mg/m²)与依托泊苷(100 mg/m²)联合化疗,每三周给药一次,最多4个周期。要求患者填写一份关于心理社会幸福感、与医疗和治疗相关症状、身体功能及日常活动的问卷。化疗患者中,61%在最后一次化疗疗程后5周报告有恶心症状,44%有呕吐发作。放疗患者中,只有14%在治疗开始后14周出现恶心,5%出现呕吐。放疗患者中,64%在治疗开始后6周出现吞咽困难,而化疗患者中这一比例为8%。

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