国际老年医学杂志2024,Vol.45Issue(2) :178-182.DOI:10.3969/j.issn.1674-7593.2024.02.010

维奈托克联合阿扎胞苷治疗高危型骨髓增生异常综合征的临床分析

Clinical Analysis of Venetoclax Combined with Azacitidine in Hig-risk Myelodysplastic Syndrome

黄天骄 刘松涛 曾庆兰 周虹 王雪梅 尤春叶 安博 蒋博文 郭珩
国际老年医学杂志2024,Vol.45Issue(2) :178-182.DOI:10.3969/j.issn.1674-7593.2024.02.010

维奈托克联合阿扎胞苷治疗高危型骨髓增生异常综合征的临床分析

Clinical Analysis of Venetoclax Combined with Azacitidine in Hig-risk Myelodysplastic Syndrome

黄天骄 1刘松涛 1曾庆兰 1周虹 1王雪梅 1尤春叶 1安博 1蒋博文 1郭珩1
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作者信息

  • 1. 齐齐哈尔医学院附属第二医院,齐齐哈尔 161000
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摘要

目的 探究维奈托克联合阿扎胞苷治疗高危型骨髓增生异常综合征的疗效及安全性.方法 选取齐齐哈尔医学院附属第二医院2019年6月—2022年6月收治的56例高危型骨髓增生异常综合征患者作为研究对象,采用简单随机抽样法将患者分为对照组(30例)和研究组(26例).对照组采用阿扎胞苷化疗,研究组在对照组治疗基础上加用维奈托克治疗.比较两组疗效、不良反应及血清乳酸脱氢酶、β2微球蛋白、叶酸的水平.结果 研究组疗效总有效率高于对照组(P<0.05),两组不良反应的总发生率比较差异无统计学意义(P>0.05),治疗后研究组血清乳酸脱氢酶、β2微球蛋白、叶酸水平均低于对照组(P<0.05).结论 维奈托克联合阿扎胞苷化疗方案可提高高危型骨髓增生异常综合征的治疗效果,且安全可靠.

Abstract

Objective To investigate the efficacy and safety of Venetoclax combined with Azacitidine in the treatment of high-risk myelodysplastic syndrome.Methods A total of 56 patients with high-risk myelodysplastic syndrome were enrolled from June 2019 to June 2022 in the Second Affiliated Hospital of Qiqihar Medical University.The patients were divided into a control group(n=30)and a study group(n=26)by simple random sampling.The control group received Azacitidine chemotherapy.The study group received Venetoclax combined with Azacitidine chemotherapy.The efficacy,adverse reactions,lactate dehydrogenase,β2 mi-croglobulin,and folic acid were compared between the two groups.Results The overall response rate in the study group was higher than that in the control group(P<0.05).The was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).After treatment,the serum levels of lactate dehydrogenase,β2 microglobulin and folic acid in the study group were all lower than those in the control group(P<0.05).Conclusion Venetoclax combined with Azacitidine can improve the thera-peutic effect and safety on high-risk myelodysplastic syndrome.

关键词

高危型骨髓增生异常综合征/维奈托克/阿扎胞苷

Key words

Hig-risk myelodysplastic syndrome/Venetoclax/Azacitidine

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基金项目

黑龙江省卫生健康委科研项目(20230303040446)

齐齐哈尔市科技计划创新激励项目(CSFGG-2022148)

出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
参考文献量22
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