目的:观察奥曲肽治疗放疗相关性腹泻的疗效。方法:2011年8月-2014年9月我院收治在放疗过程中出现Ⅱ-Ⅳ级腹泻的患者67例,Ⅱ-Ⅲ级患者应用奥曲肽100μg皮下注射,每天3次,Ⅳ级患者给予奥曲肽25μg/h,持续泵入,每天8-12h,观察腹泻的治疗效果。结果:奥曲肽治疗67例放疗相关性腹泻的治愈率为85.07%,治疗后患者Karnofsky体力状态( KPS)评分明显提高,未见明显不良反应。结论:奥曲肽治疗放疗相关性腹泻,尤其对Ⅱ-Ⅲ级腹泻有较好的疗效,安全可靠,有效改善患者生存治疗,保障放疗顺利进行。
Objective:To exPlore the efficacy of octreotide in the treatment of radiotheraPy-induced acute diar-rhea( RID). Methods:All 67 Patients with grade Ⅱ-Ⅳ diarrhea during celiac or Pelvic radiotheraPy were analyzed during August 2011 and SePtember 2014. The grade Ⅱ-Ⅲ Patients were given the subcutaneous injection of oct-reotide(100μg,tid). The grade Ⅳ Patients were continuously infused with 25μg/h octreotide for 8 -12h/day. Re-sults:The overall resPonse rate was 85. 07%. After treatment,the KPS scores were significantly imProved. In addition, no obvious adverse reaction was found. Conclusion:The theraPeutic efficacy of octreotide in the treatment of RID was effective and safe,and dramatically imProved the quality of life of Patients.