摘要
目的:评价唑来膦酸注射液治疗肿瘤骨转移疼痛的疗效及安全性。方法:将80例因恶性肿瘤骨转移引起中度以上疼痛患者随机分为两组,研究组(45例)予唑来膦酸注射液4mg溶于100ml生理盐水中静脉滴注15min。对照组(35例)予帕米膦酸二钠注射液60mg溶于500ml生理盐水中静脉滴注4h。研究期为14d。结果:两组在治疗后第14d的疼痛评分唑来膦酸优于帕米膦酸二钠(3.63vs.4.95,P=0.02)。疼痛完全缓解率、部分缓解率及总疗效率两组基本相似。在达到完全缓解时间上唑来膦酸比帕米膦酸二钠要短,在达到PR时间上唑来膦酸注射液与帕米膦酸二钠注射液相似。结论:唑来膦酸相对于帕米膦酸二钠给药时间短、给药剂量小、起效快,并具有良好的耐受性和安全性。
Objective:To evaluate the efficacy and safety of zoledronic acid injection to relieve pain due to osseous metastasis, nethods:A total of 80 patients with osseous metastasis were randomized to infuse intravenously either zoledronic acid injection 4 mg( treatment group) for 15 rain or pamidronate injection 60rag (control group) for 4 h. Results : NRS of treatment group was lower, the time reaching to CR of treatment group was shorter (P 〈 0.05 ), CR, PR and RR of two groups were same. Conclusion:The injective time of zoledronic acid injection is shorter, dose is smaller, effect is faster, and has satisfactory toleration and safety.
出处
《现代肿瘤医学》
CAS
2010年第6期1194-1196,共3页
Journal of Modern Oncology