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贞芪扶正颗粒联合达沙替尼治疗BCR-ABL阳性白血病的临床观察

郑方 孙志强

中国药房2016,Vol.27Issue(18):2482-2484,3.
中国药房2016,Vol.27Issue(18):2482-2484,3.DOI:10.6039/j.issn.1001-0408.2016.18.11

贞芪扶正颗粒联合达沙替尼治疗BCR-ABL阳性白血病的临床观察

Clinical Observation of Zhenqi Fuzheng Granule Combined with Dasatinib in the Treatment of BCR-ABL Positive Leukemia

郑方 1孙志强2

作者信息

  • 1. 贵州医科大学附属白云医院,贵阳 550014
  • 2. 贵州医科大学附属医院,贵阳 550014
  • 折叠

摘要

Abstract

OBJECTIVE:To observe the efficacy and safety of Zhenqi fuzheng granule combined with dasatinib in the treat-ment of BCR/ABL positive leukemia. METHODS:40 patients with BCR-ABL positive chronic myeloid leukemia or PH-positive acute lymphoblastic leukemia were randomly divided into control group(20 cases)and observation group(20 cases). Control group received Dasatinib tablet,CML patients in chronic period received 100 mg,once a day,orally,morning or evening;CML patients in acceleration period and blastic period received 140 mg,once a day,orally,morning or evening,swallow whole,no cut or crushed. Observation group additionally received 15 g of Zhenqi fuzheng granule,twice a day. The treatment course for both groups was 24 months. Hematologic response,cytogenetic response and molecular biological response in 2 groups were observed, fatality rate,mean follow-up time and the incidence of adverse reactions were followed-up. RESULTS:CCR in observation group was significantly higher than control group,mean follow-up time was longer than control group,CCR median time was significant-ly shorter than control group,the incidence of adverse reactions and fatality rate were significantly lower than control group,the differences were statistically significant(P<0.05). There were no significant differences in the cytogenetic response and molecular biological response in 2 groups(P>0.05). CONCLUSIONS:Zhenqi fuzheng granule combined with dasatinib is superior to dasat-inib alone in proving hematologic response and safety in the treatment of BCR-ABL positive leukemia,and similar in cytogenetic response and molecular biological response.

关键词

达沙替尼/贞芪扶正颗粒/BCR-ABL阳性白血病/血液学效应/细胞遗传学效应/分子生物学效应

Key words

Dasatinib/Zhenqi fuzheng granule/BCR-ABL positive leukemia/Hematologic response/Cytogenetic response/Molecular biological response

分类

医药卫生

引用本文复制引用

郑方,孙志强..贞芪扶正颗粒联合达沙替尼治疗BCR-ABL阳性白血病的临床观察[J].中国药房,2016,27(18):2482-2484,3.

基金项目

贵阳市白云区科技计划项目 ()

中国药房

OA北大核心CSTPCD

1001-0408

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