引用本文:区 梅,叶冬梅.甲钴胺治疗化疗后周围神经病变的疗效观察[J].中国临床新医学,2009,2(8):846-847.
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甲钴胺治疗化疗后周围神经病变的疗效观察
区 梅,叶冬梅
530021 南宁,广西壮族自治区人民医院肿瘤科(区 梅);药剂科(叶冬梅)
摘要:
[摘要] 目的 探讨甲钴胺治疗化疗后周围神经毒性的疗效。方法 将2006-11~2008-11 76例化疗后出现周围神经病变的患者随机分成两组。其中治疗组38例,予以甲钴胺500 μg,肌肉注射治疗,1次/d;对照组38例,予维生素B12 500 μg,肌肉注射治疗,1次/d。疗程均为半个月。结果 治疗组有效率92.1%,对照组有效率34.2%,两组疗效比较差异有统计学意义(P<0.01)。结论 甲钴胺可以明显改善化疗后的周围神经病变。
关键词:  甲钴胺  化疗  神经毒性
DOI:10.3969/j.issn.1674-3806.2009.08.25
分类号:R 730.53
基金项目:
Clinical investigation on efficacy of mecobalamine in treating patients with chemotherapy-induced peripheral neuropathy
OU Mei, YE Dong-mei
Department of Oncology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To investigate the efficacy of mecobalamine in treating patients with chemotherapy-induced peripheral neuropathy.Methods Between November 2006 and November 2008, 76 cancer patients with chemotherapy-induced peripheral neuropathy were randomly assigned into the study group and the control groop. Thirty-eight patients in the study groop received intramuscular injection of mecobalamine in a dose of 500 μg, once daily, whereas thirty-eight patients in the control groop received intramuscular injection of vitamin B12 in a dose of 500 μg, once daily,the treatment duration for both groop was fifteen days.Results A significantly higher overall response rate was found in the study groop compared with those in the control groop (92.1% versus 34.2%, P<0.01).Conclusion Mecobalamine is effective in treating chemotherapy-induced peripheral neuropathy.
Key words:  Mecobalamine  Chemotherapy  Neurotoxicity