{"id":33361,"date":"2018-03-09T09:30:27","date_gmt":"2018-03-09T09:30:27","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/control-de-la-emesis-inducida-por-quimioterapia-en-pacientes-pediatricos-afectos-de-tumores-solidos\/"},"modified":"2018-03-09T09:30:27","modified_gmt":"2018-03-09T09:30:27","slug":"control-de-la-emesis-inducida-por-quimioterapia-en-pacientes-pediatricos-afectos-de-tumores-solidos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/control-de-la-emesis-inducida-por-quimioterapia-en-pacientes-pediatricos-afectos-de-tumores-solidos\/","title":{"rendered":"Control de la emesis inducida por quimioterapia en pacientes pediatricos afectos de tumores solidos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel Jimenez Monteagudo <\/strong><\/h2>\n<p>Objetivos: valorar la eficacia de dos antagonistas 5-ht3, ondansetr\u00f3n (ond) y tropisetr\u00f3n (tro), en comparaci\u00f3n con clorpromazina (clo) + dexametasona (dxm), en el control de la emesis inducida por quimioterapia con capacidad emet\u00f3gena alta y moderada en pacientes pedi\u00e1tricos afectos de tumores s\u00f3lidos. Pacientes y metodos: 46 ni\u00f1os diagnosticados de tumores s\u00f3lidos malignos fueron randomizados en un estudio doble ciego y cruzado para recibir, v\u00eda endovenosa, ondansetr\u00f3n (5 mg\/m2 cada 12 horas), tropisetr\u00f3n (0,2 mg\/kg\/24 horas) y clorpromazina (0,3 mg\/kg cada 6 horas, tres dosis \/24 horas) + dexametosona (2 mg\/m2 cada 12 horas). Resultados: se han evaluado 302 ciclos de quimioterapia. Quimioterapia altamente emet\u00f3gena: con ond y tro se ha obtenido una respuesta antiem\u00e9tica completa (no episodios em\u00e9ticos) en 34% y 28% de los ciclos de quimioterapia respectivamente, significativamente superior (p &lt; 0.01) a la obtenida con clo + dxm (16%) ond y tro han presentado una eficacia similar. Quimioterapia moderadamente emet\u00f3gena: no se han observado diferencias significativas entre las tres pautas antiem\u00e9ticas. Efectos adversos: con clo + dxm se ha producido somnolencia (57%; p&lt;0.001) con mayor frecuencia que con ond (16%) y tro (7%). Conclusiones:  los antagonistas 5-ht3, ondansetr\u00f3n y tropisetr\u00f3n, presentan una eficacia superior a clorpromazina + dexametasona en el control de la emesis inducida por quimioterapia altamente emet\u00f3gena en pacientes pedi\u00e1tricos. Las tres pautas presentan una eficacia antiem\u00e9tica similar en quimioterapia moderadamente emet\u00f3gena.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Control de la emesis inducida por quimioterapia en pacientes pediatricos afectos de tumores solidos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Control de la emesis inducida por quimioterapia en pacientes pediatricos afectos de tumores solidos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel Jimenez Monteagudo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/11\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Luis Sierrasesumaga Ariznabarreta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Crespo hernandez <\/li>\n<li>joaquin Giraldez deiro (vocal)<\/li>\n<li>Rafael Fern\u00e1ndez-delgado cerd\u00e1 (vocal)<\/li>\n<li>joaquin del Rio zambrana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Jimenez Monteagudo Objetivos: valorar la eficacia de dos antagonistas 5-ht3, ondansetr\u00f3n (ond) y tropisetr\u00f3n (tro), en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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