奥沙利铂神经毒性机制及防治研究进展(1)
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[摘要] 奥沙利铂是第3代铂类抗癌药物,抗癌谱广、毒副反应轻微是其主要特点。但该药的外周神经毒性发生率却高达90%,是其剂量限制性毒性。本文对奥沙利铂(乐沙定)神经毒性表现、分级、发生机制及防治策略进行综述,以便为奥沙利铂疗程持续和达到更好疗效、更小毒性提供依据。
[关键词] 奥沙利铂;神经毒性;药物副作用
[中图分类号] R979.1 [文献标识码] A [文章编号] 2095-0616(2012)02-
Oxaliplatin induced neurotoxicity:mechanism and therapy
CHEN Xiaobing LV Huifang CHEN Beibei LUO Suxia
Department of internal medicine,the Affiliated Cancer Hospital of Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450008,China
[Abstract] Oxaliplatin is the third generation of the platinum,is effective in the treatment of multiple solid tumors and also quite safe.However,there is a high incidence of peripheral neurotoxiciy,which is dose-limiting.In this article,the clinical manifestations,mechanism of neurotoxicity and therapy are reviewed to provide evidence in the efficacy and the safety of oxaliplatin for the continuous treatment of this disease ......
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