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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

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【作者】 邵宗鸿郑以州张益枝陈桂彬李莉孙娟储榆林

【Author】 Shao Zonghong, Zheng Yizhou, Zhang Yizhi, et al. Institute of Hematology and Blood Diseases Hospital, CAMS and PUMC, Tianjin, 300020

【机构】 中国医学科学院中国协和医科大学血液学研究所血液病医院

【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:Fortyfive cases of CAA were treated with triolandren (TLD) (15 cases) or TLD and cyclosporin A (CsA) (30 cases). Results: The response rate of TLDCsA group (83.3%) was higher than that of TLD group (60.0%), furthermore, the recovery of bone marrow colonyforming cell (CFC) number of the responding patients was more complete and rapid in TLDCsA 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 TLDCsA 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 TLDCsA 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
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