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顺铂不同给药方案所致恶心呕吐的研究[J]. 肿瘤防治研究, 2013, 40(09): 890-893. DOI: 10.3971/j.issn.1000-8578.2013.09.016
引用本文: 顺铂不同给药方案所致恶心呕吐的研究[J]. 肿瘤防治研究, 2013, 40(09): 890-893. DOI: 10.3971/j.issn.1000-8578.2013.09.016
A Study of Chemotherapy-induced Nausea and Vomiting Involving Different Dosage Regimens of Cisplatin[J]. Cancer Research on Prevention and Treatment, 2013, 40(09): 890-893. DOI: 10.3971/j.issn.1000-8578.2013.09.016
Citation: A Study of Chemotherapy-induced Nausea and Vomiting Involving Different Dosage Regimens of Cisplatin[J]. Cancer Research on Prevention and Treatment, 2013, 40(09): 890-893. DOI: 10.3971/j.issn.1000-8578.2013.09.016

顺铂不同给药方案所致恶心呕吐的研究

A Study of Chemotherapy-induced Nausea and Vomiting Involving Different Dosage Regimens of Cisplatin

  • 摘要: 目的 观察顺铂(Cisplatin,DDP)单次大剂量给药和分次小剂量给药方案引起的化疗所致恶心呕吐(chemotherapy-induced nausea and vomiting, CINV)和对患者生活功能的影响。 方法 2011年10月-2012年6月间对武汉同济医院肿瘤中心行含DDP联合化疗方案的101例患者进行问卷调查,根据DDP给药方案,分为两组,A组:DDP 75 mg/m2,静脉滴注,d1;B组:DDP 25 mg/m2,静脉滴注,d1~3。化疗第2天和第6天分别记录CINV事件,并于第6天填写呕吐生活功能指数(functional living index-emesis,FLIE)。 结果 单次给药组急性期恶心、呕吐缓解率和延迟期恶心、呕吐缓解率依次为69.4%、77.6%、32.7%、55.1%;分次给药组依次为88.5%、92.3%、34.6%、71.2%。对以上指标进行χ2检验,急性CINV缓解率差异均有统计学意义,延迟性CINV缓解率差异无统计学意义。两组患者生活功能受到CINV负面影响的比例分别为46.9%和28.8%,χ2检验显示差异无统计学意义。 结论 与DDP单次给药相比,分次给药能够减轻急性CINV,但是对于延迟性CINV和整个化疗过程CINV对患者生活功能的影响,两种给药方式无明显差别。

     

    Abstract: Objective To compare fractionated doses cisplatin(DDP) with single high-dose cisplatin on reducing Chemotherapy-induced nausea and vomiting(CINV) and improving patients' living function. Methods From October 2011 to June 2012, 101 cases treated by combined chemotherapy with cisplatin were divided into two groups by different ways of DDP treatment, Group A: DDP 75 mg/m2, iv drip, d1; Group B: DDP 25 mg/m2, iv drip, d1-3. Patients diary recorded episodes of CINV two times during each cycle on day 2 (24 hours after chemotherapy administration) and on day 6. In addition, all patients completed a functional living index-emesis (FLIE) questionnaire, on day 6, each cycle for two circles. Results In acute phase the remission rate of nausea and vomiting were 69.4%, 77.6% in Group A and more decreased than 88.5%, 92.3% in Group B, respectively (P<0.05). In delayed phase the remissions of nausea and vomiting were 32.7%, 55.1% in Group A and higher compared with 34.6%, 71.2% in Group B (P>0.05). Based on the FLIE assessment, the patients of reduced daily function was 46.9% in group A, and similar to 28.7% in Group B (P>0.05). Conclusion Compared with DDP of single high-dose, DDP of fractionated doses could reduce the prevalence of CINV in acute phase, but in delayed phase. And there is no difference of influence on patients' living function between the two ways.

     

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