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白蛋白结合型紫杉醇治疗晚期难治性乳腺癌的疗效及其对血清抵抗素的影响。

Efficacy of albumin-bound paclitaxel in the treatment of advanced refractory breast cancer and its effect on serum resistin.

机构信息

Department of Breast Surgery, Weihai Central Hospital, Weihai 264400, P.R. China.

出版信息

J BUON. 2020 Mar-Apr;25(2):681-687.

Abstract

PURPOSE

This study aimed to investigate the efficacy of albumin-bound paclitaxel (nab-paclitaxel) in the treatment of advanced refractory breast cancer (BC) and its effect on serum resistin.

METHODS

A retrospective study was performed based on the clinical records of 95 patients with advanced refractory BC admitted to Weihai Central Hospital from March 2012 to May 2015. Thirty-four patients were treated with traditional paclitaxel and enrolled in the control group, while the other 61 patients were treated with nab-paclitaxel and enrolled in the study group. The efficacy, toxicity and side effects, quality of life, and serum resistin levels were compared between the two groups.

RESULTS

The total response rate (RR) of the study group was much higher than that of the control group (p<0.05). The leukopenia level of the study group during the treatment was significantly lower than that of the control group (p<0.05). The level of serum resistin in the study group after treatment was significantly lower than in the control group (p<0.05). The improvement rate of quality of life in the study group was significantly higher than in the control group (p<0.05).

CONCLUSION

The results indicated that nab-paclitaxel is very effective in treating advanced refractory BC and reduces the level of serum resistin. It can improve the quality of life of patients and is worthy of clinical promotion.

摘要

目的

本研究旨在探讨白蛋白结合型紫杉醇(nab-紫杉醇)治疗晚期难治性乳腺癌(BC)的疗效及其对血清抵抗素的影响。

方法

回顾性分析 2012 年 3 月至 2015 年 5 月威海市中心医院收治的 95 例晚期难治性 BC 患者的临床资料,其中接受传统紫杉醇治疗的 34 例患者纳入对照组,接受 nab-紫杉醇治疗的 61 例患者纳入观察组。比较两组患者的疗效、毒性及不良反应、生活质量和血清抵抗素水平。

结果

观察组总缓解率(RR)明显高于对照组(p<0.05)。观察组治疗期间白细胞减少发生率明显低于对照组(p<0.05)。治疗后观察组血清抵抗素水平明显低于对照组(p<0.05)。观察组生活质量改善率明显高于对照组(p<0.05)。

结论

nab-紫杉醇治疗晚期难治性 BC 疗效确切,可降低血清抵抗素水平,改善患者生活质量,值得临床推广。

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