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美罗华联合CHOP治疗B细胞性非霍奇金淋巴瘤的临床研究
作者:徐志巧 刘培杰 高岭 刘建民 李宁 帖晓静 
单位:开封市第一人民医院,肿瘤诊疗中心,河南,开封,475000
关键词:B细胞性非霍奇金淋巴瘤 美罗华 CHOP方案 CD20+ 
分类号:R733.1, R453.9
出版年·卷·期(页码):2007·26·第五期(371-373)
摘要:

目的:评价美罗华与CHOP联合治疗B细胞性非霍奇金淋巴瘤的临床效果及不良反应.方法:用同期对照的前瞻性研究方法,将22例B细胞性非霍奇金淋巴瘤患者分为治疗组和对照组,治疗组11例用CHOP方案(环磷酰胺、阿霉素、长春新碱和泼尼)联合美罗华治疗,对照组11例单用CHOP方案.所有病例21 d为1个治疗周期,6个周期后评价.将两组患者按国际淋巴瘤预后因子指数分为中低危组和高危组,分析其疗效与预后.结果:治疗组完全缓解率达72.7%,总有效率90.9%;对照组完全缓解率为36.4%,总有效率为54.5%,两组疗效差异有统计学意义(P<0.001).结论:美罗华联合CHOP方案治疗CD20 +的B细胞性非霍奇金淋巴瘤疗效显著,不良反应与单纯化疗相似,可作为该病目前的首选方案.

Objective To evaluate the therapeutic effects and side-effects of rituximab combining with CHOP on B cell non-Hodgkin lymphoma.Methods A prospective study with concurrent control group was adopted.22 cases with B cell non-Hodgkin lymphoma were divided into 2 groups.The 11 cases in research group(rituximab group)were administered rituximab combining with CHOP(cyclophosphamide,doxorubicin,vincristine,and prednisone)regimen.The remaining 11 cases in the control group were treated with CHOP regimen only.All cases were received a course of 21 d and were evaluated after 6 coueses.The two groups were divided into high-risk and low-inter-mediate-risk subgroups according to the international prognosis index(IPI).Then we analyzed the relationship between the effects and IPI.Results The complete remission(CR)rate and total effective rate in rituximab group were 72.7% and 90.9% respectively,while those corresponding rates in control group were 36.4% and 54.5% respectively.The therapeutic differences between two groups showed statistical significance(P<0.001).Conclusion Comparing with CHOP regimen chemotherapy,rituximab combining CHOP regimen showes higher therapeutic effect.The side-effects were concordant in the two groups.Rituximab combining CHOP regimen should be the first choice in treating B cell non-Hodgkin lymphoma.

参考文献:

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