Treatment of Severe Aplastic Anemia by Immunosuppressor Anti-lymphocyte Globulin/Anti-thymus Globuli

来源 :Chinese Journal of Integrative Medicine | 被引量 : 0次 | 上传用户:yellow1989
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:To study the therapeutic effect of combined therapy with Chinese drugs and immunosuppressors, mainly anti-lymphocyte globulin/anti-thymus globulin(ALG/ATG),for the treatment of severe aplastic anemia(SAA),the efficacy associated factors and adverse effects as well.Methods:A retrospective analysis was conducted on 65 patients with SAA treated by combined therapy which was supplemented with cyclosporin A,androgen,hematopoietic growth factor,etc.Results:Of the 57 patients followed-up,26 (45.6%) were basically cured,15(26.3%) remitted,and 8(14.0%) improved markedly,the total effective rate being 85.9%.By separately comparing with a single item of clinical data,it was shown that the therapeutic effectiveness was correlated,to a certain extent,with age,illness duration,neutrophil count,and bone marrow proliferation in patients before treatment,as well as with infection that occurred in the follow-up period.It was obviously higher in patients with peripheral neutrophil count>0.5×10~9/L(P<0.05).Various degrees of serum sickness-like reactions occurred in the treatment of 36 patients,including fever in 36(63.2%),skin rash in 8 (14.0%),and musculoskeletal pain in 5(8.8%).Conclusions:The therapeutic effect of combined therapy with Chinese drugs and ALG/ATG in treating SAA could be affirmed,showing some superiority as compared with Western medicine alone.The patients’ age,duration of illness,neutrophil count,and bone marrow proliferation before treatment,and degree of infection that occurred could affect the therapeutic efficacy to a certain extent. Adverse reactions resulting from the combined therapy are less,showing the toxicity reducing and effect enhancing action of Chinese drugs. Objective: To study the therapeutic effect of combined therapy with Chinese drugs and immunosuppressors, mainly anti-lymphocyte globulin / anti-thymus globulin (ALG / ATG), for the treatment of severe aplastic anemia (SAA), the efficacy associated factors and adverse effects As well. Methods: A retrospective analysis was conducted on 65 patients with SAA treated by combined therapy which was supplemented with cyclosporin A, androgen, hematopoietic growth factor, etc. Results: Of the 57 patients followed-up, 26 (45.6%) were Of the cured, 15 (26.3%) remitted, and 8 (14.0%) improved markedly, the total effective rate being 85.9% .By separate comparing with a single item of clinical data, it was shown that the therapeutic effectiveness was correlated, to a certain extent, with age, illness duration, neutrophil count, and bone marrow proliferation in patients before treatment, as well as with the infection that occurred in the follow-up period. It was obviously higher in patients with peripheral neutrophil count> 0.5 × 10 ~ 9 / L (P <0.05) .Various degrees of serum sickness-like reactions occurred in the treatment of 36 patients, including fever in 36 (63.2%), skin rash in 8 (14.0%), and musculoskeletal pain in 5 8.8%). Conclusions: The therapeutic effect of combined therapy with Chinese drugs and ALG / ATG in treating SAA could be affirmed, showing some superiority as compared with Western medicine alone. The patients’ age, duration of illness, neutrophil count, and bone marrow proliferation before treatment, and degree of infection that occurred could affect the therapeutic efficacy to a certain extent. Adverse reactions result from the combined therapy are less, showing the toxicity reducing and effect enhancing action of Chinese drugs.
其他文献
前言气相色谱法是化学分析的一种重要手段。但是目前普遍使用的填充柱,仍然存在一些缺点,难以胜任组分复杂的有机混合物的分析。毛细管色谱柱具有高效、快速等特点,给气相
倡导理论联系实际的学风推动会计理论研究服务﹃两个转变﹄———中国会计学会理论讨论会观点综述●夏冬林执笔中国会计学会于1996年10月5日在河北省三河市召开了第五次全国会员代表大会
在中国排球职业化联赛进行到第五年度时,姗姗来迟的中国男排联赛首位外援──来自俄罗斯的主攻手尤拉最终落户济南,加盟山东济钢男排俱乐部。为了这一刻,中国排坛已期待太久太久
Using a standard photolithographical procedure, chemical wet etching and thermal diffusion bonding technology, a chemical analysis device for Capillary Electro
本文研究了试样蒸发曲线的典型特征。按照这些特征,我们利用曝光法进行了定性和定量的分析,为LI晶体的生长提供了监测手段。 This paper studies the typical characteristi
本文对e~+云团中反应的机制及其对正子素形成几率的影响作了进一步的研究。提出了激发分子也有可能对Ps形成作出贡献的观点,并提供了描述三重态正子素(O-Ps)形成几率(I_3)并
二硫代比林甲烷是近年来合成的新试剂,它是二安替比林甲烷的衍生物,在分析上的应用已有专门论述,已被用于金、碲、铋、铅、钼等许多元素的测定。本文在文献的基础上,试验了
不管怎样揣摸,如题所列的式子都是无法成立的。然而,正是这样一个不能成立的算式却反映出一个戏剧作者抓住艺术商机,成功地进军演出市场的喜人成果。这个作者就是原辽源市戏
推行大球以来,运动员、教练员、球迷、网友都谈了许多关于大球的认识,给我以很多有益的启迪。两个月来我先后担任裁判长组织了安阳市小学生乒乓球赛、安阳市文明单位运动会乒乓
在篮球场上攻守双方激烈的争夺中,运动员眼睛的作用非常重要——中心视觉必须明确地感知球的动向,边缘视觉又要能够感知场上所有攻守队员的动态。视觉在篮球比赛中的重要意