篇目详细内容 |
【篇名】 |
Preliminary results of gentamycin combined with sodium bicarbonate for prevention of irinotecan-induced diarrhea |
【刊名】 |
Frontiers of Medicine in China |
【刊名缩写】 |
Front. Med. China |
【ISSN】 |
1673-7342 |
【EISSN】 |
1673-7458 |
【DOI】 |
10.1007/s11684-009-0077-7 |
【出版社】 |
Higher Education Press and Springer-Verlag |
【出版年】 |
2009 |
【卷期】 |
3
卷4期 |
【页码】 |
470-474
页,共
5
页 |
【作者】 |
Qi MEI MM;
Zhe CAO MM;
Hua XIONG MD;
Yuan CHEN MD;
|
【关键词】 |
irinotecan; diarrhea; gentamycin; sodium bicarbonate; prevention |
【摘要】 |
The aim of this paper was to observe the clinical effect of gentamycin combined with sodium bicarbonate for the prevention of irinotecan-induced diarrhea. A total of 98 patients with stage IV cancers were recruited and divided into a prevention group (52 patients) and a control group (46 patients). All patients received the chemotherapy including irinotecan. The prevention group received gentamycin and sodium bicarbonate before the use of irinotecan for 4 days; the control group did not receive any prevention. The use of gentamycin and sodium bicarbonate resulted in significantly higher stool pH (P < 0.001), while the incidence of diarrhea by irinotecan was reduced (prevention group 13.70% versus control group 34.83%; P < 0.001). Gentamycin combined with sodium bicarbonate appears to be useful in preventing the diarrhea induced by irinotecan and reducing the dosage of loperamide and fluid replacement. |