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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.
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