期刊文献+

糖皮质激素在肿瘤内科临床应用中的安全性探讨 被引量:4

The Efficacy and Safety of Glucocorticoid in Clinical Application of Tumor in Department of Internal Medicine
下载PDF
导出
摘要 目的探讨糖皮质激素应用于肿瘤内科临床治疗的安全性。方法选择我院70例肿瘤患者来进行研究,为患者使用糖皮质激素治疗,根据激素剂量的不同来分组,A、B、C三组剂量逐渐增加,A组18例,B组22例,C组30例,对三组的临床不良反应进行比较。结果三组患者的恶心呕吐、过敏反应和脊髓压迫的发生率的差异无统计学意义(P>0.05),局部水肿、颅内高压的发生率的差异有统计学意义(P<0.05)。结论中、低剂量糖皮质激素能够提高肿瘤患者的临床疗效,且不良反应较少,长期大剂量使用有可能出现用药安全性等问题,应斟酌使用。 Objective To investigate the safety and efficacy of glucocorticoids in the clinical treatment of cancer patients. Methods 70 cases of tumor patients were treated with glucocorticoid treatment,according to different hormone dosage groups,the dose for group A,B,C increased gradually,18 cases in group A,22 cases in group B,and 30 cases in group C,compared clinical adverse reaction among three groups. Results The occurred rate of nausea,vomiting,irritability,and spinal cord compression in three groups had no statistical differences(P〉0.05),the occurrence rate of local edema and intracranial hypertension had statistically differences(P〈0.05). Conclusion Medium and low dose glucocorticoids can improve the clinical efficacy of patients with cancer,and adverse reactions are less,long-term use of large doses may have drug safety and other issues,should be considered to use.
作者 冯媛媛
出处 《中国卫生标准管理》 2016年第14期81-82,共2页 China Health Standard Management
关键词 肿瘤 糖皮质激素 疗效 安全性 Tumor Glucocorticoid Efficacy Safety
  • 相关文献

参考文献11

二级参考文献130

  • 1陈艳才,陈宗万,屈敏,宋高平,江英强,何平,苟兰琼,杨科,严义红,郑连喜,林旭,古至洲.恶性肿瘤合并2型糖尿病56例临床分析[J].四川医学,2007,28(1):45-46. 被引量:6
  • 2急性肺损伤/急性呼吸窘迫综合征诊断与治疗指南(2006)[J].中华内科杂志,2007,46(5):430-435. 被引量:232
  • 3Tannock IF, de Wit R, Berry WJ, et al. Docetaxel plus predni- sone or mitoxantrone plus prednisone for advanced prostate cancerEJ]. N Engl J Med, 2004, 351 (15) : 1502-1512.
  • 4Shukla PN, Gairola M, Mohanti BK, et al. Prophylactic beclomethasone spray to the skin during postoperative radiotherapy of carcinoma breast : a prospective randomized study [ J ] Indian J Cancer, 2006, 43 (4) : 180 - 184.
  • 5Wang H, Wang Y, Raybum ER, et al. Dexamethasone as a chemo - sensitizer forbreast cancer chemotherapy: potentiation of the antitu - mor activity of adriamycin, modulation of cytokine ex- pression, and pharmacokinetics [J]. Int JOnco 1, 2007, 30 (4) : 947 -953.
  • 6Peisong Chen, Tang Jiang, Juan Ouyang . Cui. Glucocorticoidreceptor auto-upregulation and its relation with glucocorticoidsensitivity in idiopathic nephrotic syndrome [J]. Int UrolNephrol ,2011’43(1):167-174.
  • 7Rogatsky I, Ivashkiv L. B. Glucocorticoid modulation of cyto-kine signaling[J]. Tissue Antigens ,2006,68(1) :1-12.
  • 8Shalaby SA,El Idrissy HM, Safar RA,et al . Glucocorticoidreceptors and the pattern of steroid response in idiopathic ne-phrotic syndrome [J]. Arab J Nephrol Transplant , 2012 ,5(1):13-17.
  • 9Szilagyi K,Podracka L, Franke NE, et al . K new link be-tween steroid resistance, glucocorticoid receptor and nuclearfactor kappa B p65 in idiopathic nephrotic syndrome [J].Neurol Endocrinol Lett ,2009,30(5) :629-636.
  • 10Kam JC’Szefler SJ,Surs W, et al . Combination IL-2 and IL-4reduces glucocorticoid receptor-binding affinity and T cell re-sponse to glucocorticoidsQJ. J Immunol . 1993 .151(7): 3460-3466.

共引文献53

同被引文献39

引证文献4

二级引证文献8

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