西南国防医药2011,Vol.21Issue(2):159-162,4.DOI:10.3969/j.issn.1004-0188.2011.02.015
两种剂量rmhTNF治疗晚期肿瘤恶性心包积液的疗效观察
Two different doses of rmhTNF in treatment of malignant pericardial effusion in patients with advanced tumor: observation of therapeutic effects
魏东 1冷斐 1李华 1刘焕义 1李焱1
作者信息
- 1. 610083,成都,成都军区总医院肿瘤诊治中心
- 折叠
摘要
Abstract
Objective To compare the differences of therapeutic effects and toxic reaction between the two doses of recombinant mutant human tumor necrosis factor ( rmhTNF )in the treatment of malignant pericardial effusion.Methods 56 patients with malignant pericardial effusion were randomly divided into two groups.Patients in conventional dose group and high dose group were respectively injected 5 and 15 million IU of rmhTNF via a pericardial catheter for successive 4 times.1 month after treatment, the curative effects and toxic reaction were evaluated according to the standards of WHO.Results In high dose group, total effective rate was 92.9% and complete remission rate was 71.4%.In conventional dose group, total effective rate was 53.6% and complete remission rate was 28.5 %.There were statistical differences in curative effects between the two groups( P < 0.05 ).Additionally, there was no significant difference of adverse reaction between them( P > 0.05 ).Conclusion The curative effects of rmhTNF on malignant pericardial effusion are good and it has little toxicity.The high dose of rmhTNF has better efficacy than low dose and the adverse reactions will not increase accordingly.关键词
重组改构人肿瘤坏死因子/心包积液/晚期肿瘤分类
医药卫生引用本文复制引用
魏东,冷斐,李华,刘焕义,李焱..两种剂量rmhTNF治疗晚期肿瘤恶性心包积液的疗效观察[J].西南国防医药,2011,21(2):159-162,4.