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1、联合化疗治疗乳腺癌的临床治疗体会【摘要】目的对于联合化疗治疗乳腺癌的临床治疗体会进行探讨。方法木组75例,均为女性,年龄2旷67岁,平均453岁,术后均经病理证实。采用CAF方案29例,CMF方案25例,CEF方案12例,ET方案9例。所有患者化疗4’飞个疗程,每个疗稈间隔28d。结果木组病例就诊后24h内即明确诊断者70例(9333%),就诊后2〜4d内明确诊断5例(667%)。木组75例屮出现化疗药物外溢至皮下发生疼痛、红肿者5例,发生率67儲静脉炎19例,发生率253%胃肠道反应71例,发生率947%,骨髓抑制23例,发生率307%口腔炎26例,发生率347%脱发57例,
2、发生率76%。75例联合化疗治疗乳腺癌方案屮,明显好转18例(24%),轻度好转16例(2133%),缓解不明显7例(933%),无效34例(4533%),有效率5467%。结论化疗药物虽可最大限度的杀死癌细胞,但其不良反应也不容忽视,化疗期间运用科学有效的护理方法,可以减轻化疗中出现的各种不良反应。【关键词】联合化疗乳腺癌临床治疗体会CombinationchemotherapytreatmentforbreastcancerZHOULin.WangchengCountyPeoplesHospital,SingaporeBranchofHopeTown,Wangcheng41
3、0205,China【Abstract]ObjectiveCombinationchemotherapyfortreatmentofbreastcancertreatmenttoexplore.Methodslnthisgroupof75patientswerefemale,aged28to67years,mean453years,wereconfirmedbypathologyafteroperation.29patientswithCAFprogram,CMEprogramin25cases,CEEprogramin12cases,ETprogramsin9cases.Al
4、lpatients4to6coursesofchemotherapy,eachtreatmentintervalof28d・ResultsAftertreatmentthegroupofcasesisdiagnosedwithin24h,70patients(9333%),2~4daftertreatmentin5caseswerediagnosed(667%).75patientsinthisgroupappearedtosubcutaneouschemotherapyspilloccurs,painandrednessin5cases,theoccurrenceratewa
5、s67%;phlebitisin19cases,incidenee253%;71casesofgastrointestinalreactions,theincidencewas947%,23casesofbonemarrowsuppression,theoccurrencerateof307%;stomatitisin26cases,incidence347%;hairlossin57cases,theoccurrencerateof76%.75casesofchemotherapytreatmentforbreastcancerprograms,signifiednlimpr
6、ovementin18cases(24%),mildimprovementin16patients(2133%),reliefobviousin7cases(933%),ineffectivein34patients(4533%),effective5467%.ConclusionAlthoughchemotherapydrugskillcancercellscanbemaximum,butitssideeffectscannotbeignored,chemotherapy,effectivecareduringtheapplicationofscientificmethods
7、,chemotherapycanreducethevariousadversereactionsoccur.【Keywords]Combinationchemotherapy;Breastcancer;Clinicaltreatment;Experience乳腺癌是女性最常见的恶性乳腺癌,据资料统计,发病率占全身各种恶性乳腺癌的7%^10%,在妇女仅次于子宫癌。它的发病常与遗传有关,以及4CT60岁Z间,绝经期前后的妇女发病率较高。仅约的乳腺患者是男性。通常发生在乳房腺上皮纟R织的恶性乳腺癌