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| 三氧化二砷联合沙利度胺治疗中危-1骨髓增生异常综合征的临床研究 |
| The clinical research of Arsenic trioxide combined with thalidomide in the treatment of patients with intermediate-1 MDS |
| 投稿时间：2016-05-04 修订日期：2016-06-21 |
| DOI： |
| 中文关键词: 骨髓增生异常综合征；三氧化二砷；血液学改善 |
| 英文关键词: Myelodysplastic syndromes;；Arsenic trioxide;；hematological improvement |
| 基金项目: |
| 作者 | 单位 | 邮编 | | 步云文* | 济宁市第一人民医院血液科 | 272011 |
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| 中文摘要: |
| 目的 评价三氧化二砷联合沙利度胺治疗中危-1骨髓增生异常综合征（MDS）的临床疗效及不良反应。方法 将我院确诊的骨髓增生异常综合征中危-1患者随机分成治疗组及对照组，每组51例，治疗组予以三氧化二砷联合沙利度胺治疗2疗程，对照组采用传统的促造血联合免疫调节治疗，即司坦唑醇联合沙利度胺治疗2疗程，两组患者均给与相同的支持治疗，如血小板<20×109/L予以输注单采血小板，HB<70g/l时予以输注红细胞等。观察两组患者血常规变化、肝肾功能指标及其他不良反应。结果 治疗组血液学改善（HI）率为62.7%，对照组血液学改善（HI)率为52%，两组差异有统计学意义（P<0.05)。治疗组7例出现不良反应，对照组6例出现不良反应，两组患者均未出现严重不良反应，差异无统计学意义（P>0.1)。讨论 三氧化二砷联合沙利度胺的治疗方案明显提高中危-1骨髓增生异常综合征患者的血液学改善，是治疗中危-1骨髓增生异常综合征的有效方法，且不增加治疗相关不良反应。 |
| 英文摘要: |
| Objective To investigate the treatment effect and adverse effect of Arsenic Trioxide(As2O3) combined with thalidomide regime for patients with IPSS intermediate-1 myelodysplastic syndromes (MDS). Methods 102 patients with definite IPSS intermediate-1 MDS of our hospital were randomly divided into the treatment group and the control group, with 51cases in each group. In the treatment group, Arsenic Trioxide(As2O3) combined with thalidomide was used; while in the control group, traditional promote hematopoietic and immunomodulatory was selected, that was stanozolol combined with thalidomide. The same supportive treatment was given in each group, that was transfusing platelet suspension or red blood cells to those with platelet of <20×109 or HB of<70g/l, and other treatments. The patients in both group were treated for two courses. Monitored blood test, Liver function test，renal function test and other adverse reaction . Results The total 0f 62.7% of patients showed hematological improvement (HI) in the treatment group, while the total 0f 52% of patients in the control group, there was significantly difference in the two groups (P<0.05). 4 patients had adverse reaction in the treatment group and 3 patients in the control group，there was no serious adverse reaction in both groups，there was no difference in the two groups (P>0.1). Conclusion Arsenic Trioxide(As2O3) combined with thalidomide could increase the total rate of hematological improvement in the patients with intermediate-1 myelodysplastic obviously, was an effective treatment for intermediate-1 MDS, and without additional adverse reaction. |
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