[摘要] 目的 探讨三维适形放疗(3D-CRT)联合紫杉醇单药每周化疗治疗老年非小细胞肺癌(NSCLC)的临床疗效。方法 选取2014年1月～2016年1月我院收治的68例NSCLC老年患者作为研究对象，随机分为观察组和对照组，观察组行3D-CRT联合紫杉醇每周化疗，对照组行单纯3D-CRT治疗，观察两组治疗的不良反应及治疗结束2周后的疗效。 结果 观察组治疗有效率85.3%显著高于对照组的52.9%，差异有统计学意义(P<0.05)，但观察组患者的毒副反应发生率高于对照组，差异有统计学意义(P<0.05)。 结论 3D-CRT联合紫杉醇单药每周化疗治疗老年NSCLC具有较好的疗效，虽然毒副反应也有所增加，但尚在患者耐受范围之内。

    [关键词] 三维适形放疗；紫杉醇；非小细胞肺癌；老年

    [中图分类号] R734.2 [文献标识码] B [文章编号] 1673-9701(2016)24-0075-03

    [Abstract] Objective To explore the clinical curative effects of three-dimensional conformal radiotherapy(3D-CRT) combined with paclitaxel alone in the weekly chemotherapy of elderly non-small cell lung cancer(NSCLC). Methods 68 elderly patients with NSCLC who were admitted to our hospital from January 2014 to January 2016 were selected as research subjects. They were randomly assigned to the observation group and the control group. The observation group was given 3D-CRT combined with paclitaxel for weekly chemotherapy ......