浏览全部资源
扫码关注微信
1.上海交通大学医学院附属瑞金医院(上海 200025)
2.上海中医药大学附属岳阳中西医结合医院(上海 200437)
葛健,男,硕士,副主任医师,主要从事中西医结合相关临床及教学工作
张振贤,教授,主任医师;E-mail:zhenxianzhang@ hotmail.com
唐暐,主任医师,E-mail:tw10481@rjh.com.cn
收稿日期:2024-06-11,
纸质出版日期:2025-02-10
移动端阅览
葛健,沈一格,张佼佼,等.生血宝合剂辅助治疗自体造血干细胞移植后骨髓抑制的临床观察[J].上海中医药杂志,2025,59(2):60-63.
GE Jian,SHEN Yige,ZHANG Jiaojiao,et al.Clinical observation of Shengxuebao Mixture as an adjunct therapy for bone marrow suppression after autologous hematopoietic stem cell transplantation[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(2):60-63.
葛健,沈一格,张佼佼,等.生血宝合剂辅助治疗自体造血干细胞移植后骨髓抑制的临床观察[J].上海中医药杂志,2025,59(2):60-63. DOI: 10.16305/j.1007-1334.2025.z20240611013.
GE Jian,SHEN Yige,ZHANG Jiaojiao,et al.Clinical observation of Shengxuebao Mixture as an adjunct therapy for bone marrow suppression after autologous hematopoietic stem cell transplantation[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(2):60-63. DOI: 10.16305/j.1007-1334.2025.z20240611013.
目的
2
探讨生血宝合剂辅助治疗血液恶性肿瘤自体造血干细胞移植后骨髓抑制的疗效。
方法
2
回顾性分析102例接受自体造血干细胞移植的血液恶性肿瘤患者的相关资料,根据是否使用生血宝合剂分为观察组(52例)、对照组(50例),对照组单纯采用细胞因子治疗,观察组在此基础上加用生血宝合剂,两组均持续治疗至造血干细胞植入。比较两组血液指标(白细胞计数、网织红细胞计数、血小板计数及血红蛋白、促红细胞生成素水平)的变化情况,粒系和巨核系细胞植入时间,以及不良反应的发生情况。
结果
2
①组间治疗后比较,观察组网织红细胞计数及血红蛋白、促红细胞生成素水平高于对照组(
P
<
0.05)。②观察组患者粒系和巨核系植入时间短于对照组(
P
<
0.05);③两组不良反应发生率比较,差异无统计学意义(
P
>
0.05)。
结论
2
与单纯采用细胞因子治疗比较,加用生血宝合剂能更好地促进血液恶性肿瘤自体干细胞移植后的骨髓功能重建,改善骨髓抑制现象。
Objective
2
To investigate the efficacy of Shengxuebao Mixture in supporting the treatment of bone marrow suppression following autologous hematopoietic stem cell transplantation (AHSCT) in patients with hematologic malignancies.
Methods
2
A retrospective analysis was conducted on 102 patients with hematologic malignancies who underwent AHSCT. Patients were divided into an observation group (
n
=52) and a control group (
n
=50) based on whether they received Shengxuebao Mixture. The control group received cytokine therapy alone, while the observation group received Shengxuebao Mixture in addition to cytokine therapy. Both groups continued treatment until hematopoietic stem cell engraftment. Hematologic parameters, including white blood cell count, reticulocyte count, platelet count, hemoglobin, and erythropoietin levels, were compared between the two groups, along with the engraftment times for granulocyte and megakaryocyte lineages and the incidence of adverse reactions.
Results
2
①Post-treatment comparisons between groups revealed that the observation group had significantly higher reticulocyte count, hemoglobin, and erythropoietin levels than the control group (
P
<
0.05). ②Granulocytic and megakaryocytic engraftment times were shorter in the observation group than in the control group (
P
<
0.05). ③There was no statistically significant difference in the incidence of adverse reactions between the two groups (
P
>
0.05).
Conclusion
2
Compared to cytokine therapy alone, adding Shengxuebao Mixture can better promote bone marrow function recovery after AHSCT in patients with hematologic malignancies, thus alleviating bone marrow suppression.
陈佳 , 吴德沛 . 异基因造血干细胞移植治疗慢性淋巴细胞白血病的研究进展 [J]. 中华器官移植杂志 , 2012 , 33 ( 7 ): 444 - 446 .
KUMAR S K , CALLANDER N S , ADEKOLA K , et al . Multiple Myeloma, Version 2.2024, NCCN Clinical Practice Guidelines in Oncology [J]. J Natl Compr Canc Netw , 2023 , 21 ( 12 ): 1281 - 1301 .
中华医学会血液学分会浆细胞疾病学组 , 中国医师协会多发性骨髓瘤专业委员会 . 中国多发性骨髓瘤自体造血干细胞移植指南(2021年版) [J]. 中华血液学杂志 , 2021 , 42 ( 5 ): 353 - 357 .
SINGER S , SHARMA N , DEAN R , et al . BEAM or BUCYVP16-conditioning regimen for autologous stem-cell transplantation in non-Hodgkin's lymphomas [J]. Bone Marrow Transplant , 2019 , 54 ( 10 ): 1553 - 1561 .
陈颖莹 , 黄文荣 , 赵小利 , 等 . 自体外周血造血干细胞移植的造血重建分析 [J]. 中国实验血液学杂志 , 2017 , 25 ( 5 ): 1518 - 1523 .
陈莉 , 张川莉 , 陈凤姣 , 等 . 聚乙二醇化重组人粒细胞集落刺激因子在外周血造血干细胞移植中的应用观察 [J]. 标记免疫分析与临床 , 2021 , 28 ( 9 ): 1590 - 1594 .
张利东 , 杨宋娟 , 吴涛 . 生血宝合剂联合PEG-rhG-CSF对恶性肿瘤化疗后骨髓抑制的预防效果 [J]. 中国实用医药 , 2022 , 17 ( 5 ): 158 - 160 .
中国抗癌协会血液肿瘤专业委员会 . 造血干细胞移植治疗淋巴瘤中国专家共识(2018版) [J]. 中华肿瘤杂志 , 2018 , 40 ( 12 ): 927 - 934 .
中国医师协会血液科医师分会 . 中国多发性骨髓瘤诊治指南(2022年修订) [J]. 中华内科杂志 , 2022 , 61 ( 5 ): 480 - 487 .
李念夷 , 王小钦 , 林果为 . 网织红细胞参数的临床价值 [J]. 诊断学理论与实践 , 2014 , 13 ( 3 ): 345 - 348 .
于洁 , 李金红 . 生血宝合剂对白血病化疗后骨髓抑制及生活质量的改善作用 [J]. 中国当代医药 , 2020 , 27 ( 31 ): 103 - 105 .
李世雄 , 赵思宇 , 李源 . 中药复方配伍理论下生血宝复方化学成分溶出规律研究 [J]. 中草药 , 2022 , 53 ( 14 ): 4298 - 4306 .
0
浏览量
0
下载量
0
CSCD
0
CNKI被引量
关联资源
相关文章
相关作者
相关机构