青岛大学学报(医学版)2024,Vol.60Issue(5) :771-774.DOI:10.11712/jms.2096-5532.2024.60.159

TPO-RA治疗儿童原发免疫性血小板减少症效果与安全性

Efficacy and safety of thrombopoietin receptor agonists in treatment of children with primary immune thrombocytopenia

张茗雪 张磊 梁卉
青岛大学学报(医学版)2024,Vol.60Issue(5) :771-774.DOI:10.11712/jms.2096-5532.2024.60.159

TPO-RA治疗儿童原发免疫性血小板减少症效果与安全性

Efficacy and safety of thrombopoietin receptor agonists in treatment of children with primary immune thrombocytopenia

张茗雪 1张磊 2梁卉2
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作者信息

  • 1. 青岛大学医学部,山东青岛 266073;青岛市妇女儿童医院血液科
  • 2. 青岛市妇女儿童医院血液科
  • 折叠

摘要

目的 探究血小板生成素受体激动剂(TPO-RA)治疗儿童原发免疫性血小板减少症(ITP)的效果与安全性.方法 收集16例经糖皮质激素、免疫球蛋白等一线治疗无效或者病情仍反复,并且口服TPO-RA治疗的ITP病儿的临床资料,监测TPO-RA治疗前后病儿血小板(PLT)计数的变化、出血分级变化以及不良事件发生情况.结果 16例ITP病儿用药1、2、3周及1、2、3、4月PLT计数与治疗前比较,差异有统计学意义(Z=2.261~3.408,P<0.05);治疗后出血分级较治疗前有明显改善,差异有显著性(Z=-2.140,P<0.05).治疗过程中出现的不良反应多为轻中度,病儿均可耐受,无严重不良反应事件.结论 TPO-RA治疗儿童ITP效果佳、安全性高,病儿可耐受性强.

Abstract

Objective To investigate the efficacy and safety of thrombopoietin receptor agonists(TPO-RA)in the treatment of children with primary immune thrombocytopenia(ITP).Methods Clinical data were collected from 16 children with ITP who had no response to the first-line treatment including glucocorticoids and immunoglobulin,experienced disease recurrence,and re-ceived oral administration of TPO-RA,and they were monitored in terms of platelet count(PLT),bleeding grade,and adverse events before and after treatment.Results All 16 children showed a significant change in PLT after 1,2,and 3 weeks and 1,2,3,and 4 months of administration(Z=2.261 to 3.408,P<0.05),and there was a significant improvement in bleeding grade after treatment(Z=-2.140,P<0.05).Adverse events during treatment were mostly mild or moderate,and the children were to-lerant to these adverse events,with no serious adverse events during treatment.Conclusion TPO-RA has good efficacy,high safety,and good tolerability in children with ITP.

关键词

血小板生成素受体激动剂/儿童/紫癜,血小板减少性,特发性/治疗结果/药物相关性副作用和不良反应

Key words

thrombopoietin receptor agonists/child/purpura,thrombocytopenic,idiopathic/treatment outcome/drug-re-lated side effects and adverse reactions

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出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
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