通过对使用大功率微波作为热源的亚高温热化疗与常规化疗的对比观察,探讨了肿瘤热化疗疗效和不良反应与常规化疗之间的差异.对13608 例使用大功率微波热疗机实施全身亚高温热疗配合化疗患者与15408 例常规化疗患者的疗效和不良反应进行对比,分析了微波场亚高温条件下化疗的机理及热疗温度、治疗时间、疗程与疗效的关系,以及微波热化疗疗效及不良反应与常规化疗之间的差别.结果显示,大功率微波热源的亚高温热化疗有效率为81.15%,常规化疗有效率为39.03%,且微波热化疗所致的不良反应率较常规化疗低.表明大功率微波热化疗治疗肿瘤的疗效明显优于常规化疗,而且减轻患者化疗的不良反应,是肿瘤治疗的有效手段.
This paper compares the difference in efficacy of tumor hyperthermia combined with chemotherapy and conventional chemotherapy and their adverse reactions through comparative observation. The former 13608 cases underwent whole body mild hyperthermia combined with chemotherapy with high-powered microwave hyperthermia machine, and the latter 15408 cases underwent standard chemotherapy. We analyzed the mechanism of chemotherapy under microwave hyperthermia and the relationships among temperature control, time, course, and efficacy of treatment. The effective rate of treatment of high-powered hyperthermia combined with chemotherapy was 81.15%, and that of standard chemotherapy was 39.03%. The results show that the curative effect of the former is significantly better than that of the latter, and the adverse reactions were apparently reduced. Hyperthermia is becoming an effective therapeutic method for tumors.
[1] 赫捷, 赵平, 陈万青. 2012年中国肿瘤登记年报[M]. 北京: 军事医学科学出版社, 2012. He Jie, Zhao Ping, Chen Wanqing. China tumor registration report in 2012[M]. Beijing: Military Medical Science Press, 2012.
[2] 张涛.四分之一癌症病人在中国[J]. 瞭望新闻周刊, 2010(25):67. Zhang Tao. A quarter of the cancer patient in China[J]. Journal of Outlook Weekly News Magazine, 2010(25):67.
[3] 彭磷基. 肿瘤绿色綜合治疗[M]. 北京: 中国中医药出版社, 2008. Peng Linji. The treatment of tumor comprehensive treatment[M]. Beijing: China Press of Traditional Chinese Medicine, 2008.
[4] Hou Y Y, Wu Y M, Gao N M. Regional sub-high temperature typerthermiatombined with chemotherapy for IV non- small cell lung cancer[J]. Northwest Pharmacy, 2009, 24(5): 396-397.
[5] Mohamed F, Marchettini P, Smart O A, et al. Threnalenhancement of new chemotherapeutieagenst at moderate hyperthermia[J]. Annals of Surgical Oncology, 2003, 10(4): 463-468.
[6] Chen J M, Dando P M, Rawlings N D, et al. Cloning, isolation, and characterization of mammalian legumain, an asparaginylendopeptidase[J]. Biological Chemistry, 1997, 272(12): 8090-8098.
[7] Eppink B, Krawczyk P M, Stap J, et al. Hyperthermia-induced DNA repair deficiency suggests novel therapeutic anti- cancer strategies[J]. International Journal of Hyperthermia, 2012, 28(6): 509-517.
[8] Dewey W C, Westra A, Miller H H, et al. Heatinduced lethality and chromosomal damage in synchronized Chinese hamster cells treated with 5- bromodeoxyuridine[J]. International Journal of Radiation Biology and Related Studies in Physics, Chemistry, and Medicine, 1971, 20(6): 505-520.
[9] Kluger M J. The evolution and adaptive value of fever[J]. American Scientist, 1978, 66(1): 38-43.
[10] FreyB,WeissEM,RubnerY,etal.Oldandnewfactsabout hyperthermiainduced modulations of the immune system[J]. International Journal of Hyperthermia, 2012, 28(6): 528-542.
[11] Binder R J, Srivastava P K. Peptides chaperoned by heat shock proteins are a necessary and sufficient source of antigenin the cross-priming of CD8+ T cells[J]. Nature Immunology, 2005, 6(6): 93-599.
[12] Srivastava P. Roles of heat- shock proteins in innate and adaptive immunity[J]. Nature Reviews Immunology, 2002, 2(3): 185-194.
[13] 曹慧玲, 徐冶, 刘晓东, 等. 微波对人肺癌A549细胞凋亡的非热效应[J]. 中国老年学杂志, 2012, 32(15): 3250-3252. Cao Huiling, Xu Ye, Liu Xiaodong, et al. Non-hyperthermia effect of microwave on A549 lung cancer cell apoptosis[J]. Chinese Journal of Gerontology, 2012, 32(15): 3250-3252.
[14] Caraglia M, Marra M, Mancinelli F, et al. Electromagnetic fields at mobile phone frequency induce apoptosis and inactivation of the multichaperone complex in human epidermoid cancer cells[J]. Journal of Cellular Physiology, 2005, 204(2): 539-548.