Department of Oncology, Tangshan Gongren Hospital affiliated to North China University of Science and Technology, Tangshan, Hebei Province, China.
Department of Infection, Tangshan Central Hospital, Tangshan, Hebei Province, China.
Pak J Pharm Sci. 2022 Jan;35(1):77-84.
To observe the occurrence of cardio-cerebrovascular adverse events in patients with brain metastases from lung cancer treated with antiangiogenic drugs. A total of 182 patients with brain metastases from lung cancer were selected as the research objects. They were divided into patients receiving antiangiogenic drugs and those not receiving antiangiogenic drugs. The incidence of cardio-cerebrovascular adverse events was observed. The incidence of low-grade hypertension, cerebral haemorrhage, cerebrovascular accident, cerebrovascular arrhythmia and other cardio-cerebrovascular adverse events in patients with brain metastases from lung cancer after receiving antiangiogenic therapy was higher than in the group that did not receive anti-vascular therapy (P<0.05). The incidence of low-grade hypertension increased in patients with a previous history of hypertension after they received antiangiogenic drugs (P< 0.05). There were no statistically significant differences between cardio-cerebrovascular adverse event rates in patients treated with three different antiangiogenic drugs (P>0.05). Head radiotherapy did not increase the rate of cardio-cerebrovascular adverse events among patients treated with antiangiogenic drugs (P< 0.05), and the incidence of adverse events was lowest in the endost group combined with radiotherapy. The incidence of cardio-cerebrovascular adverse events in the combined gemcitabine + platinum (GP) and irinotecan + platinum (IP) regimen group was higher than that in the other combined chemotherapy regimen groups. Treatment of brain metastases from lung cancer using antiangiogenic drugs increases the incidence of low-grade cardio-cerebrovascular adverse events, but these drugs are safe and controllable and are worthy of clinical application.
观察肺癌脑转移患者接受抗血管生成药物治疗后发生心脑血管不良事件的情况。选择 182 例肺癌脑转移患者作为研究对象,分为接受抗血管生成药物治疗的患者和未接受抗血管生成药物治疗的患者,观察心脑血管不良事件的发生情况。接受抗血管生成治疗后,肺癌脑转移患者发生低级别高血压、脑出血、脑卒中等心脑血管不良事件的发生率高于未接受血管治疗组(P<0.05)。有高血压既往史的患者接受抗血管生成药物治疗后低级别高血压发生率增加(P<0.05)。三种不同抗血管生成药物治疗患者的心脑血管不良事件发生率无统计学差异(P>0.05)。脑放疗并未增加接受抗血管生成药物治疗患者的心脑血管不良事件发生率(P<0.05),且放疗联合内皮组不良事件发生率最低。吉西他滨+铂类(GP)联合伊立替康+铂类(IP)方案组心脑血管不良事件发生率高于其他联合化疗方案组。抗血管生成药物治疗肺癌脑转移可增加低级别心脑血管不良事件的发生率,但这些药物安全可控,值得临床应用。