首页|BCL-2抑制剂联合用药治疗老年急性髓系白血病的临床研究

BCL-2抑制剂联合用药治疗老年急性髓系白血病的临床研究

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目的 探讨B淋巴细胞瘤-2(B-cell Lymphoma-2,BCL-2)抑制剂联合用药在治疗老年急性髓系白血病中的治疗效果,为老年急性髓系白血病的治疗提供实践依据.方法 选取甘肃省酒钢医院肿瘤血液科于2020年1月—2023年10月收治的30例老年急性髓系白血病患者作为研究对象,按照随机数表法分为对照组(15例)和干预组(15例).干预组采用BCL-2抑制剂联合用药治疗,对照组采用常规治疗方法.比较两组治疗后的效果和不良反应发生率.结果 治疗后,干预组的好转率(86.67%)显著高于对照组(46.67%),差异有统计学意义(χ2=5.400,P<0.05).治疗后,干预组的血液学指标显著优于对照组,差异有统计学意义(P<0.05);干预组的免疫学指标优于对照组,差异有统计学意义(P<0.05);干预组不良反应总发生率显著低于对照组,差异有统计学意义(P<0.05).结论 BCL-2抑制剂联合用药在治疗老年急性髓系白血病患者中,能有效改善患者的血液学指标和免疫学指标,促进疾病的好转,降低不良反应发生率.
Clinical Study of BCL-2 Inhibitor Combined Therapy in the Treatment of Aged Acute Myeloid Leukemia
Objective To investigate the therapeutic effect of B-cell lymphoma-2(BCL-2)inhibitors in the treatment of senile acute myeloid leukemia,and to provide practical basis for the treatment of senile acute myeloid leukemia.Methods Thirty elderly patients with acute myeloid leukemia admitted to the Department of Oncology and Hematol-ogy in Jiugang Hospital of Gansu Province from January 2020 to October 2023 were selected as the study objects,and were divided into control group(15 cases)and intervention group(15 cases)according to random number table method.The intervention group was treated with BCL-2 inhibitor and the control group was treated with conventional treatment.The effect and incidence of adverse reactions were compared between the two groups.Results After treat-ment,the improvement rate of the intervention group(86.67%)was significantly higher than that of the control group(46.67%),and the difference was statistically significant(χ2=5.400,P<0.05).After treatment,the hematological index of the intervention group was significantly better than that of the control group,the difference was statistically signifi-cant(P<0.05).The immunological index of the intervention group was better than that of the control group,and the dif-ference was statistically significant(P<0.05).The total incidence of adverse reactions in the intervention group was sig-nificantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of elderly patients with acute myeloid leukemia,the combination of BCL-2 inhibitors can effectively im-prove the hematological and immunological indexes of patients,promote the improvement of the disease,and reduce the incidence of adverse reactions.

BCL-2 inhibitorSenile acute myeloid leukemiaVenetoclax

袁晓婧、朱晨雨、王勇强

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甘肃省酒钢医院肿瘤血液科,甘肃嘉峪关 735100

甘肃省酒钢医院骨科,甘肃嘉峪关 735100

BCL-2抑制剂 老年急性髓系白血病 维奈克拉

嘉峪关市科技计划

22-B11

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(7)
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