沙利度胺联合CHOP治疗外周血t细胞淋巴瘤的疗效观察

X. Duan, Cong Ma, J. Hua
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摘要

目的探讨沙利度胺联合CHOP治疗外周血t细胞淋巴瘤的临床疗效。方法选取2017年1月~ 2019年1月聊城市人民医院收治的外周血t细胞淋巴瘤患者72例,按随机数字表法分为观察组(36例)和对照组(36例)。对照组采用CHOP,观察组采用沙利度胺。3周为1个疗程,两组均连续治疗8个疗程。比较两组患者的临床疗效、治疗前后精氨酸酶1 (Arg-1)、血管内皮生长因子(VEGF)、诱导型一氧化氮合酶(iNOS)水平及治疗期间不良反应(胃肠道反应、肝损害、骨髓抑制、神经毒性、脱发、皮疹)发生情况。结果治疗后,观察组总有效率(86.11%)高于对照组(63.89%),差异有统计学意义(P < 0.05)。结论沙利度胺联合CHOP治疗外周t细胞淋巴瘤临床疗效显著。能有效降低Arg-1、VEGF、iNOS水平,不增加不良反应发生率。关键词:淋巴瘤,t细胞,外周;切计划;萨力多胺
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Effect of thalidomide combined with CHOP on patients with peripheral T-cell lymphoma
Objective To investigate the clinical efficacy of thalidomide combined with CHOP in the treatment of peripheral T-cell lymphoma. Methods A total of 72 patients with peripheral T-cell lymphoma treated in Liaocheng People’s Hospital from January 2017 to January 2019 were selected, and were divided into observation group (36 cases) and control group (36 cases) according to the random number table. CHOP was used in the control group, while thalidomide was used in the observation group. Three weeks was one course of treatment, and both groups received 8 consecutive courses of treatment. The clinical curative effect and levels of arginase 1 (Arg-1), vascular endothelial growth factor (VEGF), induce nitric oxide synthase (iNOS) compared before and after the two groups and the adverse reactions during the treatment of (gastrointestinal reaction, liver damage, bone marrow suppression, neurotoxicity, hair loss, skin rash) were compared between the two groups. Results After treatment, the total effective rate of observation group (86.11%) was higher than that of the control group (63.89%), the difference was statistically significant (P 0.05). Conclusions Thalidomide combined with CHOP has significant clinical effect in the treatment of peripheral T-cell lymphoma. It can effectively reduce Arg-1, VEGF and iNOS levels, without increasing the incidence of adverse reactions. Key words: Lymphoma, T-cell, peripheral; CHOP plan; Thalidomide
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