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| Clinical Study of Adjusted doses of Apatinib Combined with Chemotherapy for Advanced Gastric Cancer Treatment |
| XIAO Mi, WANG Mei-xing |
| Shanghai Minhang district Tumor Hospital,200000 |
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Abstract 【Objective】 To study the clinical effect of different doses of Apatinib combined with chemotherapy for advanced gastric cancer treatment. 【Methods】 A total of 60 patients with advanced gastric cancer who failed second-line treatment were divided into the observation group (low-dose triple administration of apatinib combined with systemic chemotherapy, 30 cases) and the control group (continuous high dose of apatinib combined with systemic chemotherapy, 30 cases) by random number table method.The short-term effects of chemotherapy were compared between the two groups, and the adverse reactions were recorded during the treatment. The half-year survival rate in two groups were recorded by follow-up. 【Results】 The disease control rate of the observation group after 2 courses of treatment was higher than that of the control group; the difference was statistically significant (P<0.05).There were no significant difference in the severity of adverse reactions such as hypertension, proteinuria, hemorrhage, anemia and leukopenia between the two groups (P>0.05).The severity of gastrointestinal and hand-foot skin reactions in the observation group was significantly less than that in the control group (P<0.05).The half-year survival rate of the observation group was 43.33% (13/30), which was not significantly different from the control group 30.00% (9/30) (P>0.05). 【Conclusion】 Low-dose triple administration of apatinib combined with systemic chemotherapy in the treatment of advanced gastric cancer improves the efficacy of chemotherapy, reduces adverse reactions and has high clinical application value.
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Received: 16 September 2019
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2020, Vol. 37 
