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贝伐珠单抗治疗恶性肿瘤相关不良反应回顾性分析
Retrospective Clinical Analysis of Adverse Reactions of Bevacizumab in the Treatment of Malignant Tumor
  
DOI:
中文关键词:  贝伐珠单抗  恶性肿瘤  药品不良反应  靶向治疗
英文关键词:Bevacizumab  Malignant tumor  Adverse drug reactions  Targeted therapy
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作者单位
裘琳1 刘异1 侯黎伟2 李娟1 1.华中科技大学同济医学院附属同济医院药学部 武汉4300302.山东省郓城县疾病预防控制中心 
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中文摘要:
      摘 要 目的:探讨贝伐珠单抗治疗恶性肿瘤的相关不良反应(ADR)发生情况及特点,为临床安全使用贝伐珠单抗提供参考。方法:采用回顾性分析方法,收集2016年10月~2018年4月使用贝伐珠单抗治疗而出现ADR的94例恶性肿瘤病例,统计患者年龄、性别、所患疾病,贝伐珠单抗剂量、联合化疗方案,ADR发生时间、症状、严重程度等。 结果:患者原患疾病主要为结直肠癌、非小细胞肺癌(NSSCLC)和乳腺癌,其中化疗一线治疗53例,二线治疗41例。本组患者中贝伐珠单抗所致ADR发生在6个月内,≤3个月者64例,3~5个月者30例,其中导致出血、贫血、高血压比例分别为29.79%,29.79%,25.53%,明显高于其他ADR占比(P<0.05)。高血糖、肠穿孔等特殊ADR比例分别为7.45%,1.06%。结论:贝伐珠单抗严重ADR比例较低,临床使用贝伐珠单抗时,应密切关注发生概率较高及特殊的ADR,做到定期监测、及时处理。
英文摘要:
      ABSTRACT Objective: To investigate adverse reactions of bevacizumab in the treatment of malignant tumor and provide theoretic basis for clinical rational using bevacizumab. Methods:Totally 94 patients in our hospital using the bevacizumab during October 2016 to April 2018 were retrospectively analyzed. The age, gender, disease and the treatment of bevacizumab combination other chemotherapy drugs were statistics and analysis. Results:The primary disease were mainly colorectal cancer, non small cell lung cancer (NSSCLC) and breast cancer and so on, of which 53 cases were treated with first line chemotherapy and 41 cases were treated with second line chemotherapy. All adverse reaction occurred in 6 months, among which 64 cases occurred less than 3 months and 30 cases occurred within 3 to 5 months. The incidences of hemorrhage, anemia and were 29.79%, 29.79%, 25.53%, respectively, which were significantly higher than that in other adverse reactions (P<0.05). The incidences of specific clinical adverse reactions, such as hyperglycemia and enterobrosis were 7.45%, 1.06%. Conclusion:The probability of serious adverse reactions of bevacizumab is low. For high incidence or special ADR, the adverse reactions of bevacizumab should be regularly monitored and timely treated.
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