丙种球蛋白治疗化疗后血小板减少症的临床观察

The Clinical Observation on Treatment of Immunoglobulin for Post-chemotherapeutic Thrombocytopenia

  • 摘要: 目的:探讨丙种球蛋白治疗化疗后血小板减少症的临床观察。方法:将化疗后血小板减少症患者分为3组,丙种球蛋白(IvIg)+粒细胞集落刺激因子组(G-CSF),G-CSF组,IvIg组。结果:IvIg+G-CSF组和IvIg组治疗化疗后血小板减少症用药3天和7天后血小板增加值与用药前相比有显著差异P<0.01和P<0.05。IvIg+G-CSF组对化疗后血小板减少症进行3天和7天治疗后,分别有14例次70.00%和16例次80.00%患者出现血小板升高>30×109/L,与单用G-CSF组相比较,P<0.01。单用IvIg进行治疗3天和7天后,18例次患者中有10例次即55.56%患者血小板升高>30×109/L,与单用G-CSF组相比较,P<0.01。结论:IvIg具有升高化疗后血小板减少症的作用,G-CSF与IvIg联合应用具有明显增强其升高血小板的作用。

     

    Abstract: Objective :To observe the clinical effect on treatment of immunoglobulin (Ivlg) for thrombocytopenia after chemotherapy. Methods : The patients with post-chemotherapeutic thrombocytopenia were divided into three groups: the patients in group one received intravenous Ivlg with G-CSF, those in group two and group three received G-CSF and IvIg alone, respectively. Results : After 3 and 7 day's adminstration for treatment of the post-chemotherapeutic thrombocytopenia in the group with IvIg plus G-CSF and the group with IvIg alone, there was significant difference in the increase value of platlet, compared to that before adminstration (P<0.05 and P<0.01). After 3 and 7 day's treatment for post-chemotherapeutic thrombocytopenia, the increment of platlet for over 30 x109/L occurred in 70.00% and 80.00% patients respectively in the group with IvIg and G-CSF, compared to the group with IvIg alone (P<0.01). The increment of platlet for over 30x109/L occurred in 55.56% patients in the group with IvIg alone, after 3 and 7 day's treatment, compared to the group with G-CSF alone (P<0.01). Conclusions : The IvIg can improve post-chemotherapeutic thrombocytopenia, the treatment of IvIg in combination with G-CSF has a clear role in the increase of platlet.

     

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