白俊文, 吴万敏. 金龙胶囊在乳腺癌新辅助化疗中的疗效分析[J]. 中国肿瘤临床, 2014, 41(4): 246-249. DOI: 10.3969/j.issn.1000-8179.20130104
引用本文: 白俊文, 吴万敏. 金龙胶囊在乳腺癌新辅助化疗中的疗效分析[J]. 中国肿瘤临床, 2014, 41(4): 246-249. DOI: 10.3969/j.issn.1000-8179.20130104
BAI Junwen, WU Wanmin. Efficacy analysis of Jin Long Capsule (JLC) in neoadjuvant chemotherapy of breast cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(4): 246-249. DOI: 10.3969/j.issn.1000-8179.20130104
Citation: BAI Junwen, WU Wanmin. Efficacy analysis of Jin Long Capsule (JLC) in neoadjuvant chemotherapy of breast cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(4): 246-249. DOI: 10.3969/j.issn.1000-8179.20130104

金龙胶囊在乳腺癌新辅助化疗中的疗效分析

Efficacy analysis of Jin Long Capsule (JLC) in neoadjuvant chemotherapy of breast cancer

  • 摘要:
      目的  评估金龙胶囊联合TEC方案(多西他赛+表柔比星+环磷酰胺)在乳腺癌新辅助化疗中的治疗效果及不良反应。
      方法  自2010年3月至2012年9月收治的64例Ⅱ和Ⅲ期乳腺癌患者随机分成金龙胶囊联合新辅助化疗组(32例)和常规新辅助化疗组(32例)。金龙胶囊联合新辅助化疗组患者接受金龙胶囊和TEC方案的同步治疗, 常规新辅助化疗组患者仅接受TEC方案的治疗, 化疗周期均为21 d。共完成4个新辅助化疗周期之后行手术治疗, 评价疗效及不良反应。
      结果  金龙胶囊联合新辅助化疗组与常规新辅助化疗组的有效率(完全缓解+部分缓解)分别84.38%(27/32)和56.25%(18/32), 差异有统计学意义(P < 0.05)。两组患者主要不良反应为Ⅱ~Ⅲ度胃肠反应和骨髓抑制。金龙胶囊联合新辅助化疗组白细胞水平下降和恶心呕吐的发生率要显著低于常规新辅助化疗组, 差异有统计学意义(P < 0.05)。化疗后金龙胶囊联合新辅助化疗组生活质量改善优于常规新辅助化疗组, 差异有统计学意义(P < 0.05)。
      结论  金龙胶囊与新辅助化疗联合应用可提高乳腺癌的治疗效果, 减轻患者对化疗的不良反应, 改善患者生活质量。

     

    Abstract:
      Objective  To analyze the therapeutic efficacy and adverse reaction induced by Jin Long Capsule (JLC) combined with TEC regimen (docetaxel+epirubicin+cyclophosphamide) in neoadjuvant chemotherapy of breast cancer.
      Methods  A total of 64 patients who had stages Ⅱ to Ⅲ breast cancer were divided into two groups randomly:JLC combined with neoadjuvant chemotherapy group (JLC group, n=32) and conventional neoadjuvant chemotherapy group (control group, n=32). The chemotherapy cycle was 21 d equally. Evaluations of therapeutic effects were made after three cycles of neoadjuvant chemotherapy and consequent operation.
      Results  The effective powers (complete response+ partial response) of the JLC group and the control group were 84.38% (27/32 cases) and 56.25% (18/32 cases), respectively. The difference was statistically significant (P < 0.05). The main adverse effects were grades Ⅱ to Ⅲ gastrointestinal tract indisposition and myelosuppression. WBC decrease and incidence rate of nausea and vomiting were obviously lower in the JLC group than in the control group (P < 0.05). The life quality of patients in the JLC group was greatly improved than that in the control group (P < 0.05).
      Conclusion  The application of JLC combined with neoadjuvant chemotherapy can improve therapeutic efficacy and reduce the poisonous side effects of chemotherapy, thereby improving the life quality of patients.

     

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