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重组人粒细胞集落刺激因子(rhG-CSF,filgrastim)有促进粒系造血干细胞增殖分化及增强成熟粒细胞功能的作用。本文报告异基因骨髓移植后接受G-CSF治疗的患者共20例。G-CSF自骨髓移植后d6开始应用,用量为10mg·kg ̄(-1)·d ̄(-1),连用20d至连续3d粒细胞>1.0×10 ̄9/l或白细胞>2.0×10 ̄9/l为止。结果表明,粒细胞升至>0..5×10 ̄9/l及>1.0×10 ̄9/l的平均天数试用组为13.8及15.4d;对照组为21.8及28.4d(P<0.001)。白细胞升至>1.0×10 ̄9/l及2.0×10 ̄9/l的平均天数,试用组为14.5及16.3d;对照组为23.6及32.3d(P<0.001)。但两组血小板升至>20×10 ̄9/L的时间及骨髓移植后输血小板的次数两组无显著差异。骨髓移4植后5wk内发烧的平均天数试用组每人1.2d;对照组每人4.5d(P<0.01)。作者认为,异基因骨髓移植后应用G-CSF治疗有明显促进粒细胞恢复的作用。且可降低骨髓移植早期的感染率。
Recombinant human granulocyte colony-stimulating factor (rhG-CSF, filgrastim) can promote the proliferation and differentiation of myeloid hematopoietic stem cells and enhance the function of mature granulocytes. This article reports a total of 20 patients who received G-CSF after allogeneic bone marrow transplantation. G-CSF began to be applied on day 6 after bone marrow transplantation, and the dosage was 10 mg · kg -1 (d -1) for 20 days, continuous 3d granulocytes> 1.0 × 10 -9 / l or leukocyte> 2 .0 × 10 ~ 9 / l so far. The results showed that granulocytes rose to> 0. . The average days of 5 × 10 ~ 9 / l and> 1.0 × 10 ~ 9 / l were 13.8 and 15.4 days in the trial group and 21.8 and 28.4 days in the control group (P <0.001). White blood cells rose to> 1.0 × 10 ~ 9 / l and 2.0 × 10 ~ 9 / l average days, the trial group was 14.5 and 16.3d; control group was 23.6 and 32.3d (P <0.001). However, there was no significant difference between the two groups when the number of platelets rose to> 20 × 10 ~ 9 / L and the number of transfusion platelets after bone marrow transplantation. The mean number of days with fever in 5 weeks after transplantation of bone marrow was 1.2 days in the trial group and 4.5 days in the control group (P <0.01). The authors believe that the application of G-CSF after allogeneic bone marrow transplantation significantly promote the recovery of granulocytes. And can reduce the early infection rate of bone marrow transplantation.