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术前两种新辅助化疗方式应用于乳腺癌的临床观察及其影响分析

许帅,王本忠

Chinese and Foreign Medical Research(2019)

Cited 4|Views18
Abstract
目的:探讨术前两种新辅助化疗方案应用于乳腺癌患者的临床效果.方法:回顾性分析安徽医科大学第一附属医院2013年1月-2017年1月乳腺癌患者80例.其中使用表柔比星联合环磷酰胺的EC新辅助化疗方式的40例患者作为对照组,另外40例使用多西他赛注射液联合表柔比星及环磷酰胺的TEC新辅助化疗方式的患者作为观察组.每3周作为1个化疗周期,共化疗4个周期.比较两组患者的治疗效果及不良反应发生情况.结果:观察组患者新辅助化疗后治疗总有效率为77.50%,对照组新辅助化疗后治疗总有效率为55.00%,两组比较差异有统计学意义(P<0.05).新辅助化疗期间两组患者均发生白细胞数减少、恶心呕吐及肝肾功能损伤等不良反应,但两组比较差异无统计学意义(P>0.05).结论:术前两种新辅助化疗方式用于乳腺癌的临床疗效不同,加用多西他赛注射液药物的TEC新辅助化疗方式可以明显地提高乳腺癌患者的治疗效果,值得推广.
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要点】:本研究对比分析了两种术前新辅助化疗方案对乳腺癌患者的临床效果,发现加入多西他赛的TEC方案能显著提高治疗效果。

方法】:通过回顾性分析80例乳腺癌患者的临床数据,将使用EC方案的患者作为对照组,使用TEC方案的患者作为观察组,对比两组的治疗效果和不良反应。

实验】:在2013年1月至2017年1月期间,对安徽医科大学第一附属医院的乳腺癌患者进行了4个周期的化疗,对照组采用EC方案,观察组采用TEC方案,结果观察组总有效率为77.50%,对照组为55.00%,两组数据差异有统计学意义(P<0.05)。不良反应发生率两组间无统计学差异(P>0.05)。