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三氧化二砷联合康力隆治疗骨髓增生异常综合征疗效观察

Clinical observation of the arsenic trioxide and stanozolol therapy for patients with myelodysplastic syndrome

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【作者】 刘林湘杜宏涛黄永生李红雨郭长生

【Author】 LIU Linxiang1 DU Hongtao2 HUANG Yongsheng2 LI Hongyu2 GUO Changsheng3 (1Department of Hematology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou , 450052, China;2Department of Hematology, the Traditional Chinese Hosptial of Yanling County;3Department of Hematology, the 155 Hospital of PLA)

【机构】 郑州大学第一附属医院血液科鄢陵县中医院血液科解放军155医院血液科 郑州450052

【摘要】 目的:观察三氧化二砷(ATO)联合康力隆治疗骨髓增生异常综合征(MDS)的临床疗效。方法:25例原发性骨髓增生异常综合征-难治性贫血(MDS-RA)患者,其中男15例,女10例,中位年龄39.5岁。治疗方案为ATO10mg/d(儿童酌量),静脉滴注,连用30d,继以每月给药15d,总疗程4个月,同时服用康力隆4~6mg/d。结果:基本缓解8例(32%),部分缓解5例(20%),进步或稳定者5例(20%),无效者7例(28%)。结论:ATO联合康力隆治疗原发性MDS-RA是有效的,且不良反应轻微,总有效率达72%,值得进一步应用总结。

【Abstract】 Objective:To observe the efficiency of arsenic trioxide (ATO) and stanozolol for the treatment of myelodysplastic syndrome (MDS). Mehtod:Twenty five patients of whom 15 were males 10 females and median age 39.5 years entered into the study. The treatment protocol was as following: ATO 10 mg/d iv for 30 days, followed by 15 days each month and repeated 3 cycles. Stanozolol was given 4~6 mg every day. Result:Eighteen of 25 patients with MDS-RA achieved hematologic improvement and the improvement rate was 72%, No intolerable side effect was observed. Conclusion:The ATO combined with stanozolol in de novo MDS-RA treatment is efficient and is worthwhile to be further investigated and used in clinic.

【关键词】 骨髓增生异常综合征三氧化二砷康力隆
【Key words】 MDSArsenic trioxideStanozolol
  • 【文献出处】 临床血液学杂志 ,Journal of Clinical Hematology , 编辑部邮箱 ,2007年11期
  • 【分类号】R551.3
  • 【被引频次】8
  • 【下载频次】2
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