实用肿瘤学杂志 ›› 2010, Vol. 24 ›› Issue (2): 152-155.doi: 10.3969/j.issn.1002-3070.2010.02.013

• 论著 • 上一篇    下一篇

康莱特联合腹腔内用药治疗恶性腹水

朱伯扬1, 唐广明1, 彭寿洲2   

  1. 1.广东省高州市中医院肝病肿瘤科(高州 525200);
    2.广东省茂名市中医院肿瘤科(茂名 525000)
  • 收稿日期:2010-02-11 出版日期:2010-04-28 发布日期:2015-01-24
  • 通讯作者: 朱伯扬,E-mail:gzzhuboyang@21cn.com
  • 作者简介:朱伯扬,男,(1967-),本科,主治医师,从事肝肿瘤的临床治疗

Combined therapy with Kanglaite injection and intraperitoneal catheter drainage with drug to treat malignant ascites

ZHU Boyang1, TANG Guangming1, PENG Shouzhou2   

  1. 1.Department of Hepatopathy and Tumor Diseases,Gaozhou TCM Hospital,Guang dong 525200;
    2.Department of Tumor Diseases,Maoming TCM Hospital,Guang dong 525000
  • Received:2010-02-11 Online:2010-04-28 Published:2015-01-24

摘要: 目的 探讨康莱特注射液静滴联合羟基喜树碱、鸦胆子油乳腹腔灌注治疗恶性腹水的临床疗效和安全性。方法 将65例患者随机分为治疗组和对照组,治疗组37例行腹腔内灌注羟基喜树碱20mg+鸦胆子油60mL,每周重复1次,共4次,同时加康莱特200mL静滴,1次/d,共21d;对照组28例予顺铂80mg-100mg腹腔灌注,每周重复1次,共4次;1个月后进行疗效评价。结果 腹水控制有效率,治疗组78.38%(29/37),对照组50.00%(14/28);治疗组较对照组毒副反应少、生存质量高。结论 康莱特静滴联合羟基喜树碱、鸦胆子油乳腹腔灌注治疗恶性腹水具有较好的临床疗效和安全性。

Abstract: Objective To evaluate the efficacy and safety of intervenous drop infusion of Kanglaite injection and intraperitoneal catheter drainage combined with hydroxycamptothecin and bruceolic oil emulsion in advanced tumor patients with malignant ascites.Methods 65 advanced tumor patients with malignant ascites were chosen and divided randomly into two groups:treatment group and control group.37 patients of treatment group were given hydroxycamptothecin 20 mg,bruceolic oil emulsion 60 ml by intraperitoneal injection with a repetition every week,4 times altogether.Simultaneously,an intervenous drop infusion of Kanglaite injection 200 ml was given every day,21 day altogether.And 28 patients of control group were given DDP 80-100mg by intraperitoneal injection with a repetition every week,4 times altogether.The effects were evaluated after a month.Results The malignant ascites reduced:the treatment group efficient 78.38%(29/37),and the control group efficient 50%(14/28).The toxic reactions and adverse reactions of treatment group were less than that of control group.The patients of treatment group received a better quality of life.Conclusion Intraperitoneal catheter combined with hydroxycamptothecin,bruceolic oil emulsion and intervenous drop infusion of Kanglaite injection is feasible and effective for advanced tumor patients with malignant ascites.

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