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卡铂+依托泊苷联合阿比特龙+强的松治疗转移性去势抵抗性前列腺患者的疗效和安全性
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作者 谢成明 胡林军 +6 位作者 田军 白红松 单兴利 陈永海 宁厚山 邢思佳 倪冬林 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第10期510-513,共4页
目的:评价转移性去势抵抗性前列腺癌(metastatic castration-resistant prostate cancer,mCRPC)患者多西他赛+强的松(docetaxel+prednisone,DP)方案化疗和(或)新型内分泌治疗(novel hormone therapy,NHT)进展后应用卡铂+依托泊苷(carbop... 目的:评价转移性去势抵抗性前列腺癌(metastatic castration-resistant prostate cancer,mCRPC)患者多西他赛+强的松(docetaxel+prednisone,DP)方案化疗和(或)新型内分泌治疗(novel hormone therapy,NHT)进展后应用卡铂+依托泊苷(carboplatin+etoposide,CE)方案联合阿比特龙+强的松(abiraterone+prednisone,AAP)治疗的疗效和安全性。方法:回顾性分析mCRPC患者接受DP方案化疗和(或)NHT治疗后进展,进行CE方案+AAP治疗,每3周为1周期×6周期。观察指标包括前列腺特异性抗原(prostate specific antigen,PSA)缓解率、PSA进展时间(time to PSA progression,TTPP)、影像学无进展生存期(radiographic progression-free survival,rPFS)、PSA下降30%、PSA下降90%、客观缓解率和总生存期(overall survival,OS)。结果:2019年3月至2024年2月,在北京市朝阳区桓兴肿瘤医院和中国医学科学院肿瘤医院收治的符合条件的37例mCRPC患者,进展后应用CE方案联合AAP方案治疗,中位年龄66.0岁,中位随访12.0(3.0~57.0)个月,中位治疗4个周期。PSA缓解率42.1%,中位TTPP 4.0个月,中位rPFS 8.9个月,中位OS 15.0个月。客观缓解率24.3%,PSA下降30%者占59.5%,PSA下降90%者占16.2%;安全性方面,3级及以上不良反应10例。结论:联合应用CE方案和AAP对初始DP方案化疗和(或)NHT治疗失败的去势抵抗性前列腺癌(castration-resistant prostate cancer,CRPC)患者显示出良好的临床疗效和耐受性,但需要更多的样本量和随访时间进一步验证其疗效。 展开更多
关键词 mCRPC 化疗 新型内分泌治疗 治疗后进展
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Clinical Analysis of 15 Cases of Non-Hodgkin Lymphoma Complicated with Pneumocystis carinii Pneumonia Treated with R-CHOP Regimen
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作者 Xiaohua Guo Linjun Hu +1 位作者 sijia xing Liqiang Zhou 《Proceedings of Anticancer Research》 2021年第4期51-55,共5页
Objective:To investigate the clinical features of R-CHOP regimen in the treatment of non-Hodgkin^lymphoma with Pneumocystis carinii pneumonia(PCP)in order to improve the understanding of PCP and the side effects of Ri... Objective:To investigate the clinical features of R-CHOP regimen in the treatment of non-Hodgkin^lymphoma with Pneumocystis carinii pneumonia(PCP)in order to improve the understanding of PCP and the side effects of Rituxan.Methods:A retrospective analysis of 90 patients with non-Hodgkin’s lymphoma treated with R-CHOP chemotherapy in our hospital from November 2015 to November 2020,of which 15(16.7%)patients,combined with PCP clinical data,including clinical symptoms,physical signs,chest imaging examination and treatment data were used for to analysis and summarization.Results:The clinical features of R-CHOP chemotherapy combined with PCP were fever,cough,and sputum.Some patients had fewer clinical symptoms.Common imaging manifestations were double lung membrane glass shadow,patchy shadow,and flocculent shadow.It can occur in all clinical stages,and the incidence of late stage is high,and there is no clear correlation with bone marrow suppression.Pneumocystis was found in 2 cases of sputum,and the rest of the patients were clinically diagnosed.The main therapeutic drugs are sulfamethoxazole(8/15),compound sulfamethoxazole(6/15),clindamycin(1/15,sulfa drug allergy),and adrenal cortex hormones(4/15).Fourteen cases were cured and 1 case died.Conclusion:The incidence of R-CHOP in advanced non-Hodgkin^lymphoma of PCP is high.Patients with clinical use of R-CHOP chemotherapy will encounter fever,cough,chest computed tomography(CT)film glass shadow,and diffuse patch shadow.Patients should be alert to the possibility of PCP and take sulfonamides as soon as possible for medical treatment. 展开更多
关键词 Pneumocystis carinii PNEUMONIA RITUXAN SULFONAMIDES
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Insights into carbon-based materials for catalytic dehydrogenation of low-carbon alkanes and ethylbenzene
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作者 sijia xing Sixiang Zhai +2 位作者 Lei Chen Huabin Yang Zhong-Yong Yuan 《Frontiers of Chemical Science and Engineering》 SCIE EI CSCD 2023年第11期1623-1648,共26页
Direct dehydrogenation with high selectivity and oxidative dehydrogenation with low thermal limit has been regarded as promising methods to solve the increasing demands of light olefins and styrene.Metalbased catalyst... Direct dehydrogenation with high selectivity and oxidative dehydrogenation with low thermal limit has been regarded as promising methods to solve the increasing demands of light olefins and styrene.Metalbased catalysts have shown remarkable performance for these reactions,such as Pt,CrOx,Co,ZrOx,Zn and V.Compared with metal-based catalysts,carbon materials with stable structure,rich pore texture and large surface area,are ideal platforms as the catalysts and the supports for dehydrogenation reactions.In this review,carbon materials applied in direct dehydrogenation and oxidative dehydrogenation reactions including ordered mesoporous carbon,carbon nanodiamond,carbon nanotubes,graphene and activated carbon,are summarized.A general introduction to the dehydrogenation mechanism and active sites of carbon catalysts is briefly presented to provide a deep understanding of the carbon-based materials used in dehydrogenation reactions.The unique structure of each carbon material is presented,and the diversified synthesis methods of carbon catalysts are clarified.The approaches for promoting the catalytic activity of carbon catalysts are elaborated with respect to preparation method optimization,suitable structure design and heteroatom doping.The regeneration mechanism of carbon-based catalysts is discussed for providing guidance on catalytic performance enhancement.In addition,carbon materials as the support of metal-based catalysts contribute to exploiting the excellent catalytic performance of catalysts due to superior structural characteristics.In the end,the challenges in current research and strategies for future improvements are proposed. 展开更多
关键词 carbon materials DEHYDROGENATION active sites MECHANISM catalytic performance SUPPORT
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