多柔比星与顺铂联用对宫颈癌放疗患者疗效、生存率与毒副作用的影响

Effects of doxorubicin combined with cisplatin on efficacy, survival rate and toxicity in cervical cancer patients with radiotherapy

  • 摘要: 目的 分析宫颈癌放疗患者中联合应用多柔比星与顺铂化疗的效果以及临床价值。 方法 选取本院收治的120例宫颈癌患者为研究对象,将所有患者等分为治疗组(接受多柔比星与顺铂联合化疗)和常规组(接受顺铂化疗)。比较2组治疗前后生化指标、治疗效果、生存率以及毒副作用。 结果 与常规组比较,治疗组疾病控制率、Ki-67蛋白表达水平、局部复发率显著较低,细胞内脆性组胺三联体(FHIT)蛋白、B淋巴细胞瘤-2相关X蛋白(Bax)蛋白表达水平显著较高(P<0.05); 2组半年生存率、远处转移率、毒副作用发生率比较,差异无统计学意义(P>0.05); 治疗组局部复发率较常规组显著更低(P<0.05)。 结论 多柔比星与顺铂联合应用于宫颈癌患者化疗中能显著提高治疗效果,且毒副作用较小,患者生存率高。

     

    Abstract: Objective To analyze the effect and clinical value of doxorubicin and cisplatin in combination for chemotherapy in cervical cancer patients with radiotherapy. Methods A total of 120 patients with cervical cancer were selected, and equally divided into treatment group(receiving doxorubicin and cisplatin in combination for chemotherapy)and routine group(receiving cisplatin for chemotherapy). The biochemical indicators, treatment effects, survival rates and toxic and side effects of two groups were compared before and after treatment. Results Compared with the conventional group, the disease control rate, Ki-67 protein expression level, and local recurrence rate were significantly lower, and expression levels of fragile intracellular histamine triplet(FHIT)protein and Bcl-2 associated protein X(Bax)in the treatment group were significantly higher(P<0.05); there were no differences in the half-year survival rate, distant metastasis rate, and incidence of toxic and side effects between the two groups(P>0.05). The local recurrence rate in the treatment group was significantly lower than that in the conventional group(P<0.05). Conclusion Doxorubicin and cisplatin in combination as chemotherapy for patients with cervical cancer can significantly improve treatment effect, and has less toxic and side effects.

     

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