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中国临床药理学与治疗学 ›› 2001, Vol. 6 ›› Issue (3): 222-224.

• 临床研究 • 上一篇    下一篇

局部灌注碳酸氢钠和维拉帕米提高抗肿瘤药物疗效的初步观察

范平生, 胡冰2, 孙欣3, 庄建生2, 林新民2, 季楚舒, 刘汝华, 胡礼源2, 王晓琰, 李继德, 白虎, 朱德发, 冯克海, 汪世存2, 陈飞虎3   

  1. 安徽省立医院分院, 合肥 230031;
    2安徽省立医院, 合肥 230001;
    3安徽医科大学, 合肥 230032
  • 收稿日期:2001-05-15 修回日期:2001-08-02 出版日期:2001-06-26 发布日期:2020-11-30
  • 基金资助:
    安徽省重点科研项目(№01023027) 资助

Increased effects of verapamil combined with NaHCO3 by aterial infusion in patients with solid maligant tumors

FAN Ping-Sheng, HU Bing2, SUN Xin3, ZHUANG Jian-Sheng2, LIN Xin-Min2, JI Chu-Shu, LIU Ru-Hua, HU Li-Yuan2, WANG Xiao-Yan, LI Ji-De, BAI Hu, ZHU De-Fa, FENG KeHai, WANG Shi-Cun2, CHEN Fei-Hu3   

  1. Anhui Provincial Hospital, Hefei 230031
  • Received:2001-05-15 Revised:2001-08-02 Online:2001-06-26 Published:2020-11-30

摘要: 目的 经动脉向恶性肿瘤组织局部灌注碳酸氢钠和维拉帕米, 观察对IL-2、IFN-α和阿霉素(ADM)、丝裂霉素(MMC) 介入治疗的增效作用。方法 92 个病人随机分组为单纯动脉介入化疗药物组(A 组);碳酸氢钠联合化疗药物动脉介入组(B 组);碳酸氢钠联合IL-2、IFN-α、化疗药物介入组(C 组);碳酸氢钠、维拉帕米联合IL-2、IFN-α化疗药物介入组(D组) 4 个组, A、B、C、D 4 个组介入2 个疗程后判断疗效。结果 B 组部分缓解率明显高于A 组, D 组部分缓解率均高于其它3 组。结论 向恶性肿瘤组织灌注碳酸氢钠、维拉帕米可提高IL-2、IFN-α、ADM、MMC 疗效。

关键词: 碳酸氢钠, 维拉帕米, 白细胞介素-2, 干扰素, 阿霉素, 丝裂霉素, 动脉灌注

Abstract: Aim To observe the increased effects of verapamil combined with NaHCO3 by tumors arterial infusion in patients with solid malig nant.Methods Ninety-two patients were randomly assig ned to four groups. Group A was infused with anti-cancer agent s;group B with NaHCO3 and anti-cancer agents;group C with NaHCO3, IL-2, IFN-αand anti-cancer agents, and group D was given NaHCO3, verapamil, I L-2, IFN-αand anti-cancer agents.The efficacy was evaluated after the aterial interventional chemotherapy (1 time/mon× 2) in group A, B, C and D.Applying Seldinger penetrating technique, the drugs were infused at some proper concentrations as follow s:5% SB 80 -100 ml, NS 30 ml, IL-2 400~600(×103) U, IFN-α1~3 (×103) U, verapamil 10 -15 mg, ADM 50-60 mg, DDP 100 mg or MMC 10 mg or DPT 50 mg, 5-Fu 1.0 -1.5, verapamil 5 -10 mg with in 15 min.Results Partial remission (PR) in group B was significantlyhig herthan that in group A;PR in group D was higher than those in group A, B and C.Conclusion Arterial infusion of NaHCO3 combined with verapamil into malignanttumors can increase the efficacy of anti-cancer agents and IL-2, IFN-α.

Key words: NaHCO3, adriamycin, mi tomycin, interleukin-2, interferon-α, verapamil, hgdroxy-camptothecine aterial infusion

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