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Clinical effect of 5-Fluorouracil and Gemcitabine combined with concurrent radiotherapy in the treatment of locally advanced pancreatic carcinoma |
YE Shifu CHEN Yang SHOU Feng LIN Yuanhong YE Ling |
Department of Oncology, Jianyang People's Hospital, Sichuan Province, Jianyang 641400, China
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Abstract Objective To investigate the clinical effect of 5-Fluorouracil and Gemcitabine combined with concurrent radiotherapy in the treatment of locally advanced pancreatic carcinoma. Methods The clinical data of 80 cases of patients with locally advanced pancreatic carcinoma admitted to Jianyang People's Hospital from February 2012 to March 2016 was analyzed retrospectively, they were divided into two groups by different treatment methods, treatment group A (Gemcitabine treatment) had 30 cases, treatment group B (5-Fluorouracil, Gemcitabine treatment) had 50 cases. The physical inventory score, pain index score, general well-being assessment scale, Spitzer life quality index score of two groups before and after treatment were observed, the remission rate of clinical treatment between the two groups was compared. Results The physical inventory score, pain index score of two groups after treatment were lower than those before treatment, the general well-being assessment scale score, Spitzer quality of life index score were higher than those before treatment, the differences were all statistically significant (P < 0.05). After treatment, the physical inventory score and pain index score of treatment group B were lower than those of treatment group A, the general well-being assessment scale score and Spitzer quality of life index score were higher than those of treatment group A, the differences were all statistically significant (P < 0.05). The remission rate of treatment group B was higher than that of treatment group A, the difference was statistically significant (P < 0.05). Conclusion 5-Fluorouracil and Gemcitabine combined with concurrent radiotherapy in the treatment of locally advanced pancreatic carcinoma can improve the patients' physical inventory, quality of life, decrease the pain degree, increase general well-being assessment and clinical effect, which is worthy of promotion and application.
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[1] 梅林.替吉奥联合吉西他滨治疗晚期胰腺癌疗效观察[J].中国预防医学杂志,2016,17(11):863-865.
[2] Tempero MA,Arnoletti JP,Behrman SW,et al. Pan-creatic adenocarcinoma,version 2.2012:featured updates to the NCCN guide-lines [J]. J Natl Compr Canc Netw,2012,10(6):703-713.
[3] 李小明,胡爱虹,张帆.吉西他滨联合替吉奥治疗晚期转移性胰腺癌的临床疗效和安全性评价[J].中国临床药理学杂志,2015,31(4):261-263.
[4] 中华医学会外科学分会胰腺外科学组.胰腺癌诊治指南(2014)[J].中国实用外科杂志,2014,34(1):1011-1017.
[5] 美国东部肿瘤协作组.体能状态评分ECOG评分法[J].中华普通外科学文献:电子版,2012,6(6):556.
[6] Woodforde JM,Merskey H. Some relationships between subjective measures of pain [J]. J Psychosom Res,1972,16(3):173-178.
[7] Jensen MP,Chen C,Brugger AM. Interpretation of visual analog scale ratings and change scores:a reanalysis of two clinical trials of postoperative pain [J]. J Pain,2003,4(7):407-414.
[8] Gallagher EJ,Liebman M,Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale [J]. Ann Emerg Med,2001,38(6):633-638.
[9] 邢占军.主观幸福感测量研究[J].心理科学,2002,25(3):337-338.
[10] Young SL,Ensing DS. Exploring the perspective of people with psychiatric disabilities [J]. Psychiatr Rehabilitation J,1999,22(3):219-231.
[11] 高谦,洪冰,刘少雄,等.Spitzer生活质量指数测量脑卒中患者的效度研究[J].中国康复医学杂志,1995,10(2):49-51.
[12] Spitzer WO,Dobson AJ,Hall J,et al. Measuring the quality of life of cancer patients: a concise QL-index for use by physicians [J]. J Chron Dis,1981,34(12):585-597.
[13] 孙燕,周际昌.临床肿瘤内科手册[M].3版.北京:人民卫生出版社,1996:30.
[14] 黄金昶.胰腺癌疗效评价标准[C].中华中医药学会2012年中医药防治肿瘤学术年会,2013.
[15] 柯珂,余云熹.吉西他滨联合奥沙利铂或5氟尿嘧啶治疗晚期胰腺癌的临床应用[J].中国肿瘤临床与康复,2016, 23(6):705-707.
[16] Gourgou-Bourgade S,Bascoul-Mollevi C,Desseigne F,et al. Impact of FOLFIRINOX compared with gemcitabine on quality of life in patients with metastatic pancreatic cancer:results from the PRODIGE 4/ACCORD 11 randomized trial [J]. J Clin Oncol,2013,31(1):23-29.
[17] 朱琳,黄英.吉西他滨联合替吉奥化疗在胰腺癌根治术后患者中的应用[J].中国肿瘤临床与康复,2016,23(11):1319-1321.
[18] Oxberry S,Middleton V,Bennett M. What does a good quality of life for cancer patients mean on a numerical rating scale [J]. J Clin Oncol,2005,17(2):129.
[19] 龚虹云,宋启斌,李祥攀,等.吉西他滨联合调强放疗治疗局部晚期胰腺癌21例[J].肿瘤学杂志,2016,22(1):76-78.
[20] 尹文琤,马力文.靶向药物在进展期胰腺癌中的研究进展[J].癌症进展,2015,13(6):604-608,636.
[21] Huguet F,André T,Hammel P,et al. Impact of chemora-diotherapy after disease control with chemotherapy in locally advanced pancreatic adenocarcinoma in GERCOR phase Ⅱ and Ⅲ studies [J]. J Clin Oncol,2007,25(3):326-331. |
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