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地塞米松联合用药对接受细胞毒性化疗的门诊患者的止吐疗效。

Anti-emetic efficacy of dexamethasone in combination for out-patients receiving cytotoxic chemotherapy.

作者信息

Allan S G, Farquhar D F, Harrison D J, Leonard R C

出版信息

Cancer Chemother Pharmacol. 1986;18(1):86-7. doi: 10.1007/BF00253072.

DOI:10.1007/BF00253072
PMID:3757162
Abstract

A single blind randomised trial of two different anti-emetic regimens (A and B) was performed in 26 patients with breast carcinoma undergoing emetic i.v. cytotoxic chemotherapy. They all received oral Motival (nortriptylene/fluphenazine) for 48 h after therapy and for regimen A received N-saline i.v. with their cytotoxics whilst for regimen B patients were given 16 mg dexamethasone i.v. Patients were given the alternative regimen at the subsequent course of treatment. They were asked to assess overall nausea and number of vomiting episodes in the 24 h following therapy. There was a statistically significant reduction in both for the regimen containing dexamethasone. This agent causes few side effects and is particularly suited for out-patient use.

摘要

对26例接受致吐性静脉细胞毒性化疗的乳腺癌患者进行了一项关于两种不同止吐方案(A和B)的单盲随机试验。他们在治疗后均口服Motival(去甲替林/氟奋乃静)48小时,方案A在接受细胞毒性药物治疗时静脉输注生理盐水,而方案B的患者静脉注射16毫克地塞米松。患者在后续治疗过程中接受另一种方案。要求他们评估治疗后24小时内的总体恶心程度和呕吐发作次数。含地塞米松的方案在这两方面均有统计学上的显著降低。该药物副作用少,特别适合门诊使用。

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引用本文的文献

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BMJ. 1991 Dec 7;303(6815):1423-6. doi: 10.1136/bmj.303.6815.1423.
2
Myths and realities of antiemetic treatment.止吐治疗的误区与真相
Br J Cancer Suppl. 1992 Dec;19:S46-50; discussion S50-3.

本文引用的文献

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Management of nausea and vomiting in the cancer patient.癌症患者恶心呕吐的管理
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Antiemetic efficacy of high-dose metoclopramide: randomized trials with placebo and prochlorperazine in patients with chemotherapy-induced nausea and vomiting.大剂量甲氧氯普胺的止吐疗效:在化疗引起的恶心和呕吐患者中与安慰剂和丙氯拉嗪的随机试验
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Dexamethasone and high dose metoclopramide: efficacy in controlling cisplatin induced nausea and vomiting.地塞米松与大剂量甲氧氯普胺:控制顺铂所致恶心和呕吐的疗效
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Antiemetic efficacy of dexamethasone therapy in patients receiving cancer chemotherapy.地塞米松治疗对接受癌症化疗患者的止吐疗效。
Arch Intern Med. 1983 Jul;143(7):1347-9.
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High-dose dexamethasone for prevention of cis-platin-induced vomiting.大剂量地塞米松预防顺铂所致呕吐
Cancer Chemother Pharmacol. 1981;7(1):11-4. doi: 10.1007/BF00258206.
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Incidence of nausea and vomiting with cytotoxic chemotherapy: a prospective randomised trial of antiemetics.细胞毒性化疗引起恶心和呕吐的发生率:一项止吐药的前瞻性随机试验。
Br Med J. 1979 May 19;1(6174):1323-4. doi: 10.1136/bmj.1.6174.1323-a.