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重组人粒细胞集落刺激因子(RHG-CSF)对肺癌患者CE方案化疗所致白细胞减少症的临床研究

[Clinical study of recombinant human granulocyte colony-stimulating factor (RHG-CSF) on leucopenia induced by chemotherapy with CE regimen on lung cancer patients].

作者信息

Shi Y K, Feng F Y, Sun Y

机构信息

Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing.

出版信息

Zhonghua Nei Ke Za Zhi. 1994 Nov;33(11):739-42.

PMID:7541325
Abstract

The authors have studied the efficacy and safety of recombinant human granulocyte colony-stimulating factor (rhG-CSF, Granulocyte Injection) on leucopenia and neutropenia induced by chemotherapy with regimen CE (Carboplatin and Etoposide) in lung cancer patients in a randomized, matched and cross-over clinical trial. The total enrolled patients were twenty-two. They were randomized into A and B groups (11 patients in each group). Each patient received two cycles treatment. In group A chemotherapy and rhG-CSF were used in the first cycle and chemotherapy alone was used in the second cycle, while in group B chemotherapy alone was used in the first cycle and chemotherapy and rhG-CSF were used in the second cycle. The results showed that rhG-CSF significantly increased the number of white blood cell (WBC) and absolute neutrophil count (ANC) at the nadir, decreased incidence of leucopenia and neutropenia, and reduced the number of days with WBC < 4.0 x 10(9)/L, ANC < 2.5 x 10(9)/L as well as the number of days with WBC > 4.0 x 10(9)/L and ANC > 2.5 x 10(9)/L. rhG-CSF ensures the completion of chemotherapy and its side-effects were slight.

摘要

作者在一项随机、匹配和交叉临床试验中,研究了重组人粒细胞集落刺激因子(rhG-CSF,粒细胞注射液)对肺癌患者采用CE方案(卡铂和依托泊苷)化疗所致白细胞减少和中性粒细胞减少的疗效和安全性。总共纳入22例患者。他们被随机分为A组和B组(每组11例患者)。每位患者接受两个周期的治疗。A组在第一个周期使用化疗和rhG-CSF,在第二个周期仅使用化疗;而B组在第一个周期仅使用化疗,在第二个周期使用化疗和rhG-CSF。结果显示,rhG-CSF显著增加了最低点时的白细胞(WBC)数量和绝对中性粒细胞计数(ANC),降低了白细胞减少和中性粒细胞减少的发生率,并减少了WBC<4.0×10⁹/L、ANC<2.5×10⁹/L的天数以及WBC>4.0×10⁹/L、ANC>2.5×10⁹/L的天数。rhG-CSF确保了化疗的完成,且其副作用轻微。

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