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重组人粒细胞集落刺激因子注射液对接受化疗的结肠癌患者的安全性及临床疗效

The safety and clinical efficacy of recombinant human granulocyte colony stimulating factor injection for colon cancer patients undergoing chemotherapy.

作者信息

Chen Jie, Pan Yin

机构信息

Northern Jiangsu People's Hospital, Jiangsu, China.

Clinic Medical College, Jilin University, Jilin, China.

出版信息

Rev Assoc Med Bras (1992). 2017 Dec;63(12):1061-1064. doi: 10.1590/1806-9282.63.12.1061.

Abstract

OBJECTIVE

The present study was designed to evaluate safety and efficacy of recombinant human granulocyte colony stimulating factor (G-CSF) injection and whether this regimen could reduce the incidence of adverse events caused by chemotherapy.

METHOD

A total of 100 patients with colon cancer who were treated with chemotherapy in our hospital from January 2011 to December 2014 were randomly divided into two groups, with 50 patients in each group. The patients in the treatment group received G-CSF 24 hours after chemotherapy for consecutive three days; the patients in the control group received the same dose of normal saline. Routine blood tests were performed 7 days and 14 days after chemotherapy.

RESULTS

Compared with the control group, the incidences of febrile neutropenia and leukocytopenia in the treatment group were significantly lower (p<0.05). In addition, the incidence of liver dysfunction in the treatment group was lower than that of the control group, without statistical significance. The incidence of myalgia in the treatment was higher than that of the control group without statistical significance.

CONCLUSION

The present study indicated that G-CSF injection after chemotherapy is safe and effective for preventing adverse events in colon cancer patients with chemotherapy.

摘要

目的

本研究旨在评估重组人粒细胞集落刺激因子(G-CSF)注射的安全性和有效性,以及该方案是否能降低化疗引起的不良事件发生率。

方法

选取2011年1月至2014年12月在我院接受化疗的100例结肠癌患者,随机分为两组,每组50例。治疗组患者在化疗后24小时开始连续三天接受G-CSF治疗;对照组患者接受相同剂量的生理盐水。化疗后7天和14天进行血常规检查。

结果

与对照组相比,治疗组发热性中性粒细胞减少症和白细胞减少症的发生率显著降低(p<0.05)。此外,治疗组肝功能障碍的发生率低于对照组,但无统计学意义。治疗组肌痛的发生率高于对照组,但无统计学意义。

结论

本研究表明,化疗后注射G-CSF对预防结肠癌化疗患者的不良事件是安全有效的。

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