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环孢素A治疗再生障碍性贫血体外药敏试验的初步研究
引用本文:李慧慧,杨碧云,涂梅峰,饶燕飞,吴东升. 环孢素A治疗再生障碍性贫血体外药敏试验的初步研究[J]. 江西医学院学报, 2002, 42(2): 79-80
作者姓名:李慧慧  杨碧云  涂梅峰  饶燕飞  吴东升
作者单位:江西医学院第二附属医院血液科,江西南昌330006
摘    要:目的:为预测环孢素A(CSA)治疗再生障碍性贫血(AA)疗效而建立体外药敏试验。方法:采用微量甲基纤维素半固体培养粒一单核细胞集落(GM-CFU),并用CSA干预。结果:体外/体外(S:敏感,R耐药):S/S11例,R/R10例,R/S:20例,与临床总符合率51.2%,阳性符合率100%,阴性符合率33.3%,试验敏感性35.35%,特异性100%,结论:CSA体外敏感试验与临床疗效有一定相关性,如体外敏感,则体内100%敏感,但存在一定假阴性。

关 键 词:再生障碍性贫血 环孢霉素A 药物敏感性试验 体外研究
文章编号:1000-2294(2002)02-0079-02
修稿时间:2001-11-21

Study of Sensitivity Test of Cyclosporin A in Aplastic Anemia
LI Hui hui,YANG Bi yun,TU Mei feng,RAO Yan fei,WU Dong sheng. Study of Sensitivity Test of Cyclosporin A in Aplastic Anemia[J]. Acta Academiae Medicinae Jiangxi, 2002, 42(2): 79-80
Authors:LI Hui hui  YANG Bi yun  TU Mei feng  RAO Yan fei  WU Dong sheng
Abstract:Objective:To find a method of testing cyclosporin A(CSA) sensitivity for aplastic anemia (AA) in vitro. Methods: Methylcellulose semi solid cultures were used to assess GM-CFU colonies to estimate the sensitivity of AA to CSA. Results: There were 11 S (sensitive)/S (in vitro/in vivo), 10 R(resistant)/R, 20R/S in 41 Patients. In general, Positive and negative coincident rates of in vitro with thoses of in vivo, specificity, and sensitivity were 51.2%,100%,35.35%,100%,33.3%, resectively. Conlusion: The method gives a good predicitive value for the therapy of AA. If it is sensitive in vitro, rate of sensitivity in vivo is 100%, but there are some false negative.
Keywords:anemia   aplastic  cyclosporin A  drug sensitivity test  in vitro
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