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长效睾丸酮合并环孢霉素A治疗慢性再生障碍性贫血
Treatment of chronic aplastic anemia with triolandren and cyclosporin A
【摘要】 目的:探讨进一步提高慢性再生障碍性贫血(CAA)疗效的方法。方法:长效睾丸酮(TLD)单用(15例)及合用环孢霉素A(CsA)(30例)治疗CAA45例。按全国统一标准评定疗效,并采用甲基纤维素培养法观察治疗前、后骨髓造血祖细胞水平的变化。结果:TLD+CsA组有效率为83.3%,高于单用TLD组的60.0%,且TLD+CsA组有效者骨髓造血祖细胞(BFU-E及CFU-GM)恢复明显优于单用TLD组有效者并更为迅速,两组间无效者骨髓BFU-E及CFU-GM水平无明显变化。结论:TLD+CsA治疗CAA疗效不仅高于单用TLD,且其有效者血液学恢复更为完全。
【Abstract】 Objective:To explore more effective regimen for chronic aplastic anemia (CAA). Methods:Fortyfive cases of CAA were treated with triolandren (TLD) (15 cases) or TLD and cyclosporin A (CsA) (30 cases). Results: The response rate of TLDCsA group (83.3%) was higher than that of TLD group (60.0%), furthermore, the recovery of bone marrow colonyforming cell (CFC) number of the responding patients was more complete and rapid in TLDCsA group than in TLD group. Bone marrow CFC number had no significant change of all nonresponding patients in both groups. Conclusion:The response rate of TLDCsA was higher than that of TLD alone, and the recovery of bone marrow CFC number of the responding patients was more complete and rapid in TLDCsA group.
- 【文献出处】 中华血液学杂志 ,CHINESE JOURNAL OF HEMATOLOGY , 编辑部邮箱 ,1998年04期
- 【分类号】R556.5
- 【被引频次】72
- 【下载频次】120