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目的:观察脱品司琼(tropisetron)治疗肝癌经皮肝动脉化学疗法(化疗)栓塞术(TACE)后的胃肠道反应。方法:17例接受TACE治疗的肝脏肿瘤病人,随机分为2组,脱品司琼组9例(男性8例,女性1例,年龄55±s11a),TACE前1h以脱品司琼5mg静脉滴注(静滴);昂丹司琼组8例(男性7例,女性1例,年龄58±8a),TACE术中化疗灌注前15min用昂丹司琼8mg静脉推注,术后昂丹司琼8mg静滴。结果:脱品司琼对恶心、呕吐的有效控制率为78%,与昂丹司琼比较疗效差别无显著意义。未观察到副作用。结论:脱品司琼与昂丹司琼对防止化学治疗引起的恶心与呕吐疗效相仿。
Objective: To observe the gastrointestinal reactions of tropisetron in the treatment of hepatocellular carcinoma after percutaneous transhepatic arterial chemoembolization (chemotherapy) embolization (TACE). Methods: Thirteen patients with hepatic tumors treated with TACE were randomly divided into two groups. There were 9 patients in the desipromycin group (8 males and 1 female, age 55±s11a). Instillation (intravenous); Ondansetron group 8 patients (7 males, 1 female, age 58 ± 8a), TACE intraoperative chemotherapy 15min before injection with ondansetron 8mg intravenous injection, postoperative An ondan Siqiong 8mg intravenously. RESULTS: The effective control rate of desipromycin on nausea and vomiting was 78%. There was no significant difference in efficacy between ondansetron and ondansetron. No side effects were observed. CONCLUSIONS: Trieptase and ondansetron have similar efficacy in preventing nausea and vomiting caused by chemotherapy.