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Efficacy and Side Effects of Bortezomib Combined with Cyclophosphamide and Dexamethasone in the Treatment of Multiple Myeloma |
LU Jun, ZHU Xijun |
Xuancheng People's Hospital, Anhui Xuancheng 242000, China |
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Abstract Objective: To investigate the clinical efficacy and side effects of bortezomib combined with cyclophosphamide and dexamethasone in the treatment of multiple myeloma (MM). Methods: 70 cases of patients with multiple myeloma from October 2016 to October 2019 were divided into two groups according to the treatment, Bortezomib plus cyclophosphamide and dexamethasone group (cyclophosphamide group, n = 35) and bortezomib plus thalidomide and dexamethasone group (thalidomide group, n = 35). The clinical efficacy and toxicity of the two groups were statistically analyzed. Results: The deep response rate of cyclophosphamide group was 82.9% (29 / 35) significantly higher than that of thalidomide group 51.4% (18 / 35) (P<0.05). The incidence of side effects was 54.3% (19 / 35) in the cyclophosphamide group and 60.0%(21/35) in the thalidomide group. The difference between the two groups was not significant (P>0.05). Conclusion: The therapeutic effect of bortezomib combined with cyclophosphamide and dexamethasone is better than bortezomib combined with thalidomide and dexamethasone, and it will not increase the side effects of patients.
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