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分别采用CHOP-VP16方案对52例和ProMACE-CytaBOM方案对30例非霍奇金淋巴瘤(NHL)进行化疗,结果显示,CHOP-VP16方案组的完全缓解率为51.9%(27/52),总有效率为92.3%(48/52);ProMACE-CytaBOM方案组的完全缓解率为43.3%(13/30),总有效率为90.0%(27/30)。两组的完全缓解率及总有效率比较,无显著性差异(P>0.05)。两组的主要毒副反应是骨髓抑制,CHOP-VP16方案组和ProMACE-CytaBOM方案组的白细胞下降(Ⅰ~Ⅲ度)分别为82.7%(43/52)和83.3%(25/30),但均无Ⅳ度下降发生,均无与毒性有关的死亡发生。结果表明,CHOP-VP16方案治疗NHL可以达到ProMACE-CytaBOM方案相近的疗效,且使用方便,毒副反应较轻,可作为治疗NHL的一线方案
CHOP-VP16 protocol was used to treat 52 cases of non-Hodgkin’s lymphoma (NHL) with 52 cases and ProMACE-CytaBOM regimen. The results showed that the complete remission rate of CHOP-VP16 regimen group was 51.9% (27/52) The total effective rate was 92.3% (48/52); the complete remission rate of the ProMACE-CytaBOM protocol group was 43.3% (13/30), and the total effective rate was 90.0% (27/30). There was no significant difference in complete remission rate and total effective rate between the two groups (P>0.05). The main toxicities and side effects of the two groups were myelosuppression. The leukopenia (I to III degree) in the CHOP-VP16 protocol group and the ProMACE-CytaBOM protocol group were 82.7% (43/52) and 83.3%, respectively (25/ 30) However, none of the IV-degree drops occurred, and no toxicity-related death occurred. The results show that the CHOP-VP16 regimen can achieve similar therapeutic effect with the ProMACE-CytaBOM regimen in the treatment of NHL, and it is easy to use and has less side effects. It can be used as a first-line treatment for NHL.