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干扰素在恶性淋巴瘤自体移植后早期干预的应用
引用本文:薛 慧,刘志彬,冯术青,胡永超,高 峰.干扰素在恶性淋巴瘤自体移植后早期干预的应用[J].现代肿瘤医学,2019,0(11):1992-1994.
作者姓名:薛 慧  刘志彬  冯术青  胡永超  高 峰
作者单位:华北理工大学附属医院血液科,河北 唐山 063000
基金项目:2017年政府资助临床医学优秀人才培养和基础课题研究项目
摘    要:目的:观察非霍奇金淋巴瘤(non-Hodgkin's lymphoma,NHL)患者自体造血干细胞移植(autologous hematopoietic stem cell transplantation,ASCT)术后应用重组人α-2b干扰素(α-2b IFN)进行早期干预治疗的临床疗效。方法:选取18例行ASCT的NHL患者为研究对象,移植前疾病评估均未达到完全缓解(complete remission,CR),试验组血象恢复后给予IFN 3 000 000 U次/隔日干预治疗,3个月后停用;对照组未行干扰素干预治疗,分析总体疗效及两组对比的生存情况。结果:随访中位时间为34(10~50)个月,患者中位生存时间为37(31~45)个月,3年总体无进展生存(progressive free survival,PFS)、总生存(overall survivial,OS)分别为54.7%、66.8%。ASCT后试验组1年内无疾病复发,2年内复发率为12.5%;对照组1年内复发率为20%,2年内复发率为30%。结论:NHL患者在ASCT后给予重组人α-2b IFN早期干预治疗,患者耐受性好,可能降低移植后早期复发率。

关 键 词:干扰素  淋巴瘤  自体干细胞移植  干预治疗

Application of interferon in early intervention after autologous transplantation of maligant lymphoma
Xue Hui,Liu Zhibin,Feng Shuqing,Hu Yongchao,Gao Feng.Application of interferon in early intervention after autologous transplantation of maligant lymphoma[J].Journal of Modern Oncology,2019,0(11):1992-1994.
Authors:Xue Hui  Liu Zhibin  Feng Shuqing  Hu Yongchao  Gao Feng
Affiliation:Hematology Department,North China University of Science and Technology Affiliated Hospital,Hebei Tangshan 063000,China.
Abstract:Objective:To observe the clinical effect of early intervention with recombinant human interferon alpha-2b (α-2b IFN)after autologous hematopoietic stem cell transplantation (ASCT)in patients with non-Hodgkin's lymphoma (NHL).Methods:18 cases of NHL were selected as the subjects,and disease assessment before transplantation were not CR.The patients in the trial group were given IFN 3 million U/ alternate day after hematopoietic reconstitution till 3 months,and the control group did not receive interferon treatment.The overall efficacy and survival of the two groups were analyzed.Results:In the median follow-up period of 34(10~50)months,the expected median survival time was 37(31~45)months,and the 3-year progression-free survival (PFS)and overall survival (OS) were 54.7%、66.8%.After ASCT,there was no recurrence in the trial group within 1 year,and the recurrence rate was 12.5% in 2 years.In the control group,the recurrence rate was 20% in 1 years,and 30% in 2 years.Conclusion:Early IFN intervention after ASCT in patients with NHL is well tolerated and may reduce the early recurrence rate.
Keywords:interferon  lymphoma  autologous stem  cell transplantation  intervention therapy
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