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1、聯(lián)合化療治療乳腺癌的臨床治療體會【摘要】目的對于聯(lián)合化療治療乳腺癌的臨床治療體會進(jìn)行探討。方法木組75例，均為女性，年齡2曠67歲，平均453歲，術(shù)后均經(jīng)病理證實。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’飛個療程，每個療稈間隔28d。結(jié)果木組病例就診后24h內(nèi)即明確診斷者70例(9333%),就診后2?4d內(nèi)明確診斷5例(667%)。木組75例屮出現(xiàn)化療藥物外溢至皮下發(fā)生疼痛、紅腫者5例，發(fā)生率67儲靜脈炎19例，發(fā)生率253%胃腸道反應(yīng)71例，發(fā)生率947%,骨髓抑制23例，發(fā)生率307%口腔炎26例，發(fā)生率347%脫發(fā)57例，
2、發(fā)生率76%。75例聯(lián)合化療治療乳腺癌方案屮，明顯好轉(zhuǎn)18例(24%),輕度好轉(zhuǎn)16例(2133%),緩解不明顯7例(933%),無效34例(4533%),有效率5467%。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)。【關(guān)鍵詞】聯(lián)合化療乳腺癌臨床治療體會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乳腺癌是女性最常見的惡性乳腺癌，據(jù)資料統(tǒng)計，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4CT60歲Z間，絕經(jīng)期前后的婦女發(fā)病率較高。僅約的乳腺患者是男性。通常發(fā)生在乳房腺上皮纟R織的惡性乳腺癌
