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使用大剂量类固醇和氟哌利多有效控制顺铂引起的恶心。

Effective control of cisplatin-induced nausea using high-dose steroids and droperidol.

作者信息

Mason B A, Dambra J, Grossman B, Catalano R B

出版信息

Cancer Treat Rep. 1982 Feb;66(2):243-5.

PMID:7198937
Abstract

Seventy-three consecutive patients receiving cisplatin-containing chemotherapy regimens were treated with an initial dose of chlorpromazine (25 mg im), droperidol (1 mg iv, then 1 mg sc every 4 hours), and methylprednisolone (250 mg every 4 hours for four doses). Twenty patients received a combination chemotherapy protocol that included cisplatin at a dose of 40 mg/m2 iv (group 1) and 53 patients received a protocol that included cisplatin at a dose of 120 mg/m2 iv (group 2). The median age of all the patients was 58 years. Seventy-five percent of the patients in group 1 and 45% of those in group 2 had no vomiting at all; the remainder had limited and tolerable vomiting. These results in a group of elderly patients compare favorably with trials of other antiemetic programs.

摘要

73例接受含顺铂化疗方案的连续患者,初始接受氯丙嗪(25mg,肌肉注射)、氟哌利多(1mg,静脉注射,然后每4小时皮下注射1mg)和甲泼尼龙(每4小时250mg,共4剂)治疗。20例患者接受了包含40mg/m²顺铂静脉注射的联合化疗方案(第1组),53例患者接受了包含120mg/m²顺铂静脉注射的方案(第2组)。所有患者的中位年龄为58岁。第1组75%的患者和第2组45%的患者完全没有呕吐;其余患者呕吐有限且可耐受。在一组老年患者中的这些结果与其他止吐方案的试验相比具有优势。

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1
Effective control of cisplatin-induced nausea using high-dose steroids and droperidol.使用大剂量类固醇和氟哌利多有效控制顺铂引起的恶心。
Cancer Treat Rep. 1982 Feb;66(2):243-5.
2
[An antiemetic effect of methylprednisolone plus droperidol against nausea and vomiting caused by administration of high-dose adriamycin to breast carcinoma patients].甲泼尼龙联合氟哌利多对乳腺癌患者大剂量阿霉素给药所致恶心呕吐的止吐作用
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[Randomized crossover trial of the antiemetic effects obtained with metoclopramide and droperidol versus those obtained with metoclopramide, droperidol and methylprednisolone in patients receiving cis-platinum chemotherapy].[在接受顺铂化疗的患者中,甲氧氯普胺与氟哌利多联用、甲氧氯普胺与氟哌利多及甲泼尼龙联用的止吐效果的随机交叉试验]
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[A randomized cross-over comparative study of granisetron alone and combination of granisetron, methylprednisolone and droperidol as antiemetic prophilaxis in CDDP-based chemotherapy for gynecologic cancer].
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[Randomized cross-over study on the effects of methylprednisolone, metoclopramide and droperidol on the control of nausea and vomiting associated with cis-platinum chemotherapy].[甲泼尼龙、甲氧氯普胺和氟哌利多对顺铂化疗所致恶心呕吐控制效果的随机交叉研究]
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Ondansetron: prevention of nausea & vomiting in cisplatin based chemotherapy.昂丹司琼:预防基于顺铂的化疗中的恶心和呕吐。
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Comparison of granisetron, ondansetron, and tropisetron in the prophylaxis of acute nausea and vomiting induced by cisplatin for the treatment of head and neck cancer: a randomized controlled trial.格拉司琼、昂丹司琼和托烷司琼预防顺铂治疗头颈癌引起的急性恶心和呕吐的比较:一项随机对照试验。
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[Antiemetic combination of metoclopramide and methylprednisolone for cisplatin-induced vomiting].
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Improved control of high-dose-cisplatin-induced acute emesis with the addition of prochlorperazine to granisetron/dexamethasone.在格拉司琼/地塞米松基础上加用丙氯拉嗪可改善对大剂量顺铂所致急性呕吐的控制。
Cancer J Sci Am. 1997 May-Jun;3(3):180-3.

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A research study review of effectiveness of treatments for psychiatric conditions common to end-stage cancer patients: needs assessment for future research and an impassioned plea.对常见于晚期癌症患者的精神疾病治疗效果的研究综述:未来研究的需求评估和强烈呼吁。
BMC Psychiatry. 2018 Apr 3;18(1):85. doi: 10.1186/s12888-018-1651-9.
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[Management of chemotherapy-induced emesis: what is the standard after 20 years of clinical research].[化疗引起的呕吐的管理:经过20年临床研究后何为标准]
Med Klin (Munich). 1998 Jan;93 Suppl 1:3-17. doi: 10.1007/BF03041988.
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High-dose corticosteroids for the management of dyspnea in patients with tumor obstruction of the upper airway.
高剂量皮质类固醇用于治疗上气道肿瘤阻塞患者的呼吸困难。
Support Care Cancer. 2007 Dec;15(12):1437-9. doi: 10.1007/s00520-007-0305-0. Epub 2007 Jul 17.
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Chemotherapy-induced nausea and vomiting: incidence and impact on patient quality of life at community oncology settings.化疗引起的恶心和呕吐:社区肿瘤治疗环境中的发生率及其对患者生活质量的影响。
Support Care Cancer. 2007 May;15(5):497-503. doi: 10.1007/s00520-006-0173-z. Epub 2006 Nov 14.
5
Continuous infusion of high-dose metoclopramide for the prevention of nausea and vomiting in patients receiving cancer chemotherapy.
Eur J Clin Pharmacol. 1983;25(1):35-9. doi: 10.1007/BF00544011.
6
Randomized crossover antiemetic study in cisplatin-treated patients. Comparison between high-dose i.v. metoclopramide and high-dose i.v. dexamethasone.
Cancer Chemother Pharmacol. 1986;17(1):75-9. doi: 10.1007/BF00299870.
7
Antiemetic efficacy of high-dose dexamethasone: randomized, double-blind, crossover study with a combination of dexamethasone, metoclopramide and diphenhydramine.高剂量地塞米松的止吐疗效:地塞米松、甲氧氯普胺和苯海拉明联合使用的随机、双盲、交叉研究
Br J Cancer. 1988 Mar;57(3):308-12. doi: 10.1038/bjc.1988.68.
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Cancer Chemother Pharmacol. 1991;28(1):77-9. doi: 10.1007/BF00684962.