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成人ANLL初治患者61例用HA方案和DA方案治疗的效果相似(包括CR率,中位缓解时间),而HA方案的心脏毒性及并发严重感染率均较DA方案少见和轻微(P<0.05)。成人ANLL140例用VMP或VDP方案治疗的效果相仿,而VMP方案治疗骨髓抑制率及并发严重感染率较少见和轻微(P<0.05)。结果表明,HA或VMP方案对白血病细胞均有明显的杀伤,可以分别替代DA和VDP方案,具有实用价值;HA和HAT方案疗效相似,在VMP方案中加CTX可能提高疗效。
The efficacy of HA regimen and DA regimen was similar in 61 patients with initial ANLL in adults (CR rate and median remission time), while the HA toxicity and concurrent serious infection rate in HA regimen were both less and less than those in DA regimen (P <0 .05). The effect of ANLL140 in patients with VMP or VDP regimen was similar to that of adult ANLL140 patients. However, the rate of myelosuppression and concurrent serious infection in VMP regimen were less common and mild (P <0.05). The results showed that the HA or VMP regimen showed obvious cytotoxicity on leukemic cells, which could replace the DA and VDP regimens, respectively. It was of practical value. The efficacy of HA and HAT regimens was similar. Adding CTX to VMP regimen might improve the efficacy.