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1、聯(lián)合化療治療乳腺癌臨床治療體會(huì)【摘要】目的對(duì)于聯(lián)合化療治療乳腺癌的臨床治療體會(huì)進(jìn)行探討。方法本組75例，均為女性，年齡28~67歲，平均45?3歲，術(shù)后均經(jīng)病理證實(shí)。采用CAF方案29例，CMF方案25例，CEF方案12例，ET方案9例。所有患者化療4?6個(gè)療程，每個(gè)療程間隔28do結(jié)果本組病例就診后24h內(nèi)即明確診斷者70例（93?33%）,就診后2~4d內(nèi)明確診斷5例（6?67%）。本組75例中出現(xiàn)化療藥物外溢至皮下發(fā)生疼痛、紅腫者5例，發(fā)生率6?7%靜脈炎19例，發(fā)生率25?3%胃腸道反應(yīng)71例
2、，發(fā)生率94?7%,骨髓抑制23例，發(fā)生率30?7%口腔炎26例，發(fā)生率34?7%脫發(fā)57例，發(fā)生率76%。75例聯(lián)合化療治療乳腺癌方案中，明顯好轉(zhuǎn)18例（24%）,輕度好轉(zhuǎn)16例（21?33%）,緩解不明顯7例（9令33%）,無(wú)效34例（45?33%）,有效率54?67%。結(jié)論化療藥物雖可最大限度的殺死癌細(xì)胞，但其不良反應(yīng)也不容忽視，化療期間運(yùn)用科學(xué)有效的護(hù)理方法，可以減輕化療中出現(xiàn)的各種不良反應(yīng)?！娟P(guān)鍵詞】聯(lián)合化療乳腺癌臨床治療體會(huì)Combinationchemotherapytreatmentf
3、orbreastcancerZHOULin.WangchengCountyPeople^sHospital,SingaporeBranchofHopeTown,Wangcheng410205,China【Abstract】ObjectiveCombinationchemotherapyfortreatmentofbreastcancertreatmenttoexplore?Methodslnthisgroupof75patientswerefemale,aged28to67years,mean45?3
4、years,wereconfirmedbypathologyafteroperation.29patientswithCAFprogram,CMFprogramin25cases,CEFprogramin12cases,ETprogramsin9cases?Allpatients4to6coursesofchemotherapy,eachtreatmentintervalof28d.ResultsAftertreatmentthegroupofcasesisdiagnosedwithin24h,70p
5、atients（93?33%）,2~4daftertreatmentin5caseswerediagnosed（6?67%）.75patientsinthisgroupappearedtosubcutaneouschemotherapyspilloccurs,painandrednessin5cases,theoccurrenceratewas6?7%；phiebitisin19cases,incidence25?3%；71casesofgastrointestinalreactions,theinc
6、idencewas94?7%,23casesofbonemarrowsuppression,theoccurreneerateof30?7%；stomatitisin26cases,incidence34?7%；hairlossin57cases,theoccurreneerateof76%?75casesofchemotherapytreatmentforbreastcancerprograms,significantimprovementin18cases（24%）,mildimprovement
7、in16patients（21^33%）,reliefobviousin7cases（9?33%）,ineffectivein34patients（45?33%）,effective54?67%.ConclusionAlthoughchemotherapydrugskillcancercellscanbemaximum,butitssideeffectscannotbeignored,chemotherapy,effectivecareduringtheapplicationofscientificm
8、ethods,chemotherapycanreducethevariousadversereactionsoccur.【Keywords]Combinationchemotherapy；Breastcancer；Clinicaltreatment；Experience乳腺癌是女性最常見(jiàn)的惡性乳腺癌之一，據(jù)資料統(tǒng)計(jì)，發(fā)病率占全身各種惡性乳腺癌的7%?10%,在婦女僅次于子宮癌。它的發(fā)病常與遺傳有關(guān)，以及40?60歲之間，絕經(jīng)期前后的婦女發(fā)病率較高。僅約1
