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地西他滨联合CAG方案对老年急性髓系白血病患者的影响

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目的:分析地西他滨联合CAG方案应用于老年急性髓系白血病(AML)患者的效果。方法:选取2018年7月—2023 年 7 月于牡丹江医学院附属第二医院治疗的 104 例老年AML患者作为研究对象,利用随机数表法分为对照组与试验组,各 52 例。对照组接受CAG方案治疗,试验组接受地西他滨联合CAG方案治疗。比较两组临床疗效、造血能力、免疫细胞水平、不良反应发生率。结果:试验组临床治疗总有效率高于对照组,差异有统计学意义(P<0。05)。治疗后,两组血红蛋白(Hb)、血小板计数(PLT)均高于治疗前,骨髓原始细胞比例低于治疗前,且试验组Hb、PLT高于对照组,骨髓原始细胞低于对照组,差异有统计学意义(P<0。05)。治疗后,两组成熟T淋巴细胞(CD3+)、辅助性T细胞(CD4+)、细胞毒性T细胞(CD8+)均低于治疗前,但试验组高于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:老年AML患者实施地西他滨联合CAG方案治疗的效果显著,可有效提升造血能力,对免疫细胞功能影响较小,且不增加不良反应发生率。
Effect of Decitabine Combined with CAG Regimen on Elderly Patients with Acute Myeloid Leukemia
Objective:To analyze the effect of Decitabine combined with CAG regimen in the treatment of elderly patients with acute myeloid leukemia(AML).Method:A total of 104 elderly AML patients treated in the Second Affiliated Hospital of Mudanjiang Medical College from July 2018 to July 2023 were selected as the study objects,and they were divided into the control group and the experimental group by random number table method,with 52 cases in each group.The control group received CAG regimen,and the experimental group received Decitabine combined with CAG Regimen.The clinical efficacy,hematopoietic ability,immune cell level and incidence of adverse reactions were compared between the two groups.Result:The total effective rate of clinical treatment in experimental group was higher than that of control group,the difference was statistically significant(P<0.05).After treatment,the hemoglobin(Hb)and platelet count(PLT)in two groups were higher than those before treatment,and the proportion of bone marrow original cells were lower than those before treatment,and Hb and PLT in experimental group were higher than those in control group,and proportion of bone marrow original cells was lower than that in control group,the differences were statistically significant(P<0.05).After treatment,the mature T lymphocytes(CD3+),helper T cells(CD4+)and cytotoxic T cells(CD8+)in both groups were lower than those before treatment,and those in experimental group were lower than those in control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Treatment with Decitabine combined with CAG regimen in elderly patients with AML has significant effects,which can effectively improve hematopoietic ability,have little impact on immune cell function,and do not increase the incidence of adverse reactions.

DesitabineCAG regimenElderly acute myeloid leukemiaEffect

赵文杰、孙悦、白杨、王烨

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牡丹江医学院附属第二医院 黑龙江 牡丹江 157000

牡丹江医学院附属红旗医院

地西他滨 CAG方案 老年急性髓系白血病 效果

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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