期刊文献+

晚期鼻咽癌局部同期放化疗联合西妥昔单抗治疗的护理观察 被引量:13

Nursing observation of locally advanced nasopharyngeal carcinoma patients treated with concurrent chemoradiotherapy and cetuximab
下载PDF
导出
摘要 目的观察西妥昔单抗(爱必妥)联合同期顺铂化疗加适形调强放射治疗(IMRT)治疗局部晚期鼻咽癌不良反应,总结其护理措施。方法回顾性分析我院已完成的28例局部晚期鼻咽癌患者在治疗期间观察的急性毒性临床表现特征及护理处理经验和近期疗效。结果28例患者在治疗期间,主要毒副反应为座疮样皮疹和口腔黏膜炎,其发生率分别为90%和96%,其次为胃肠道反应,骨髓抑制等。过敏反应仅见1例。结论西妥昔单抗(爱必妥)联合同期顺铂化疗加IMRT治疗局部晚期鼻咽癌患者,临床采用合理的护理措施,患者完全可以耐受,并不影响全程治疗的计划和疗效。
出处 《护士进修杂志》 2012年第10期898-899,共2页 Journal of Nurses Training
关键词 鼻咽肿瘤 同期放化疗 适形调强放疗 靶向治疗 护理 Nasopharyngeal carcinoma Concurrent chemoradiotherapy Intensity modulated radiotherapy Targeted therapy Nursing
  • 相关文献

参考文献7

  • 1Caponigro F, Longo F, Ionna F, et al. Treatment approaches to nasopharyngeal carcinoma: a review [J]. Anticaneer Drugs, 2010,21(5) :471-477.
  • 2Xiao WW, Han F, Lu TX, et al. Treatment outcomes after radiotherapy alone for patients with early-stage nasopharyngeal carcinoma[J]. Int J Radiat Oncol Biol Phys, 2009,74(4) :1070- 1076.
  • 3Chen CY, Han F, Zhao C, et al. Treatment results and late complications of 556 patients with locally advanced nasopha- ryngeal carcinoma treated with radiotherapy alone[J]. Br J Radiol, 2009,82 (978): 452-458.
  • 4Afqir S,Ismaili N,Errihani H. Concurrent ehemoradiotherapy in the management of advanced nasopharyngeal carcinoma:current status[J]. J Cancer Res Ther. 2009,5(1) :3-7.
  • 5Lu T,Zhao C,Chen C,et al. An open,multicenter clinical study of cetuximab combined with intensity modulated radiotherapy(IMRT) plus concurrent chemotherapy in nasopharyngeal carcinoma(NPC) : preliminary report[J]. J Clin Oncol, 2010,28 ( 15 ) : 440.
  • 6National Cancer Institute CTEP. CTCAE v3.0. http://etep. cancer. gov/reporting/ctc. html.
  • 7钟伟铭,梁锦辉,高健全,蔡永林.Ⅲ、Ⅳa期鼻咽癌同步放化疗联合辅助化疗的疗效观察[J].中国癌症防治杂志,2010,2(2):109-111. 被引量:9

二级参考文献8

  • 1胡巧英,刘鹏,王磊,付真富.Ⅲ、Ⅳ a期鼻咽癌患者放疗同期化疗加辅助化疗的疗效[J].癌症,2007,26(4):394-397. 被引量:43
  • 2AL-Sarraf M,LeBlanc M,Giri PG,et al.Chemoradiotherapy versus radiotherapy in patients with advanced nasopharyngeal cancer:phase Ⅲ randomized Intergroup study0099[J].J Clin Oncol,1998,16(4):1310-1317.
  • 3Ma BB,Chan AT.Recent perspectives in the role of chemotherapy in the management of advanced nasopharyngeal carcinoma[J].Cancer,2005,103 (1):22-31.
  • 4Langendijk JA,Leemans CR,Buter J,et al.The additional value of chemotherapy to radiotherapy in locally advanced nasopharyngeal carcinoma:a meta-analysis of the published literature[J].J Clin Oncol,2004,22(22):4604-4612.
  • 5Wee J,Tan EH,Tai BC,et al.Randomized trial of radiotherapy versus concurrent chemoradiotherapy followed by adjuvant chemotherapy in patients with American Joint Committee on Cancer/International Union against cancer stage Ⅲ and Ⅳ nasopharyngeal cancer of the endemic variety[J].J Clin Oncol,2005,23(27):6730-6738.
  • 6Lin JC,Jan JS,Hsu CY,et al.Phses Ⅲ study of concurrent chemoradiotherapy versus radiotherapy alone for advanced nasopharyngeal carcinoma:positive effect on overall and progression-free survival[J].J Clin Oncol,2003,21(4):631-637.
  • 7陈勇,梁少波,毛燕萍,宗井凤,唐玲珑,郭颖,曾祥发,刘孟忠,马骏.局部区域晚期鼻咽癌同期放化疗联合辅助化疗的前瞻性Ⅲ期临床研究[J].中国肿瘤临床,2008,35(14):785-789. 被引量:39
  • 8赵元华,周晓艺,何晓荣,徐娇珍,皮正超.同期放化疗加辅助化疗治疗鼻咽癌的临床观察[J].中华肿瘤防治杂志,2009,16(6):451-453. 被引量:8

共引文献8

同被引文献135

  • 1龚海英,刘雨丝.鼻咽癌调强放疗与常规放疗早期反应的观察与护理[J].护理实践与研究,2007,4(10):24-25. 被引量:5
  • 2邵仲英,封宇飞,傅得兴.新型表皮生长因子受体抑制剂——西妥昔单抗[J].中国全科医学,2006,9(4):317-318. 被引量:12
  • 3汤钊猷.现代肿瘤学[M].上海:上海医大出版社,2010:710.
  • 4朱庆超,金志明.奥沙利铂联合替吉奥治疗结直肠癌的临床观察[J].中华肿瘤杂志,2011,33(5):388-390.
  • 5BLICK SK, SCOTT LJ. Cetuximab: a review of its use insquamous cell carcinoma of the head and neck and metastaticcolorectal cancer[J]. Drugs, 2007, 67(17) : 2585-2607.
  • 6MENDELSOHN J, BASELGA J. Status of epidermal growthfactor receptor antagonists in the biology and treatment of cancer[J]. J Clin Oncol, 2003, 21(14): 2787-2799.
  • 7LI T, PEREZ - SOLER R. Skin toxicities associated withepidermal growth factor receptor inhibitors[J]. Target Oncol, 2009,4(2): 107-119.
  • 8FAKIH M,VINCENT M. Adverse events associated with anti -EGFR therapies for the treatment of metastatic colorectal cancer[J]. Curr Oncol, 2010,17 Suppl 1 : S18-S30.
  • 9MITCHELL EP,PEREZ-SOLER R, VAN CE, et al. Clinicalpresentation and pathophysiology of EGFRI dermatologictoxicities [J]. Oncology (Williston Park),2007, 21 (11 Suppl5): 4-9.
  • 10MAKOTO K, MADOKA S, MEGUMU M,et al. Cetuximab -induced skin reactions are suppressed by cigarette smoking inpatients with advanced colorectal cancer [J]. Int J Clin Oncol,2012[Epub ahead of print].

引证文献13

二级引证文献57

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部