首页|环孢素联合海曲泊帕治疗重型再生障碍性贫血患者的临床效果

环孢素联合海曲泊帕治疗重型再生障碍性贫血患者的临床效果

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目的:探究重型再生障碍性贫血患者经环孢素联合海曲泊帕治疗的改善效果.方法:选择 2021 年 11 月—2023 年 11 月九江市第一人民医院收治的 70 例重型再生障碍性贫血,使用随机数字表法将患者分为对照组(n=35)和观察组(n=35).对照组采取环孢素治疗,观察组采取环孢素联合海曲泊帕治疗.比较治疗效果、炎症因子、外周血常规指标及不良反应发生情况.结果:观察组治疗总有效率(97.14%)高于对照组(82.86%),差异有统计学意义(P<0.05).治疗后,观察组C反应蛋白(CRP)、白细胞介素-2(IL-2)和肿瘤坏死因子-α(TNF-α)相较于对照组均更低,差异均有统计学意义(P<0.05).治疗后,观察组血红蛋白(Hb)、白细胞计数(WBC)和血小板计数(PLT)均相较于对照组更高,差异均有统计学意义(P<0.05).观察组不良反应发生率与对照组相比,差异无统计学意义(P>0.05).结论:环孢素联合海曲泊帕可显著改善重型再生障碍性贫血患者临床症状,改善炎症因子及外周血象指标且安全性较高.
Clinical Effect of Ciclosporin Combined with Herombopag in the Treatment of Patients with Severe Aplastic Anemia
Objective:To explore the improvement effect of Ciclosporin combined with Herombopag in the treatment of patients with severe aplastic anemia.Method:A total of seventy patients with severe aplastic anemia admitted to Jiujiang NO.1 People's Hospital from November 2021 to November 2023 were selected,and were divided into a control group(n=35)and an observation group(n=35)by random number table method.The control group received treatment with Ciclosporin,while the observation group received treatment with Ciclosporin combined with Herombopag.The therapeutic effect,inflammatory factors,peripheral blood imaging indexes and incidence of adverse reactions were compared.Result:The total effective rate of the observation group(97.14% )was higher than that of the control group(82.86% ),the difference was statistically significant(P<0.05).After treatment,C reactive protein(CRP),interleukin-2(IL-2)and tumor necrosis factor-α(TNF-α)in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,hemoglobin(Hb),white blood cell count(WBC)and platelet count(PLT)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in observation group was not statistically significant compared with control group(P>0.05).Conclusion:Ciclosporin combined with Herombopag can significantly improve the clinical symptoms of patients with severe aplastic anemia,improve inflammatory indexs and peripheral blood indexs,and it is safe and worthy of clinical promotion.

CiclosporinHerombopagSevere aplastic anemia

李金凤

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九江市第一人民医院血液科 江西 九江 332000

环孢素 海曲泊帕 重型再生障碍性贫血

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(19)
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