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亮丙瑞林对受体阳性绝经前乳腺癌患者卵巢功能的作用。

Role of leuprorelin on ovarian function of patients with receptor-positive premenopausal breast cancer.

机构信息

Gynecology Department II, Cangzhou Central Hospital, Cangzhou, China.

Department of Thyroid and Breast III, Cangzhou Central Hospital, Cangzhou, China.

出版信息

Pak J Pharm Sci. 2021 Nov;34(6(Supplementary)):2379-2383.

Abstract

This study aims to investigate the clinical efficacy of leuprorelin on ovarian function in premenopausal breast cancer (PBC) with positive Estrogen or Progesterone receptor. Forty receptor-positive PBC patients admitted to our hospital from January 2018 to October 2020 were randomized into control group and observation group, with 20 cases in each group. Tamoxifen and tamoxifen plus leuprorelin was respectively applied. The levels of bFSH and bAFC, total effective rate, survival rate at 6, 18 and 30 months, adverse reactions, the quality of life and activity of life scores were recorded and compared. After treatment, bFSH and bAFC in the observation group group were better. The total effective rate was 90.00% in the observation group and 55.00% in the control group. The survival rate of 18 and 30 months in the observation group was notably higher while the incidence of adverse reactions was lower. The quality of life score and activity of life score in the observation group were higher. Leuprorelin combined with endocrine drugs can obviously protect ovarian function with significant long-term effect, which effectively reduces the impact of adverse reactions on receptor-positive PBC patients, with higher safety and better feasibility.

摘要

本研究旨在探讨亮丙瑞林对雌激素或孕激素受体阳性的绝经前乳腺癌(PBC)患者卵巢功能的临床疗效。选取 2018 年 1 月至 2020 年 10 月我院收治的 40 例受体阳性 PBC 患者,随机分为对照组和观察组,每组 20 例。分别应用他莫昔芬和他莫昔芬加亮丙瑞林。记录并比较两组患者 bFSH 和 bAFC 水平、总有效率、6、18 和 30 个月的生存率、不良反应、生活质量和活动能力评分。治疗后,观察组 bFSH 和 bAFC 水平较好。观察组总有效率为 90.00%,对照组为 55.00%。观察组 18 个月和 30 个月的生存率明显较高,不良反应发生率较低。观察组生活质量评分和活动能力评分较高。亮丙瑞林联合内分泌药物可明显保护卵巢功能,长期效果显著,有效降低不良反应对受体阳性 PBC 患者的影响,安全性更高,可行性更好。

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