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老年急性髓细胞白血病疗效分析
引用本文:王秀梅,刘瑛,吴永碧. 老年急性髓细胞白血病疗效分析[J]. 西部医学, 2008, 20(6): 1207-1209
作者姓名:王秀梅  刘瑛  吴永碧
作者单位:广元市第一人民医院血液科,四川广元,628017
摘    要:目的观察老年急性髓细胞白血病(AML)的疗效。方法对75例非M3型老年AML患者的临床资料进行回顾分析。根据化疗剂量将患者分为A(标准剂量)、B(减量化疗)、C(预激方案化疗)3组,并对3组的疗效进行比较。结果可评价患者A组24例,B组20例,C组31例。A组缓解率(45.8%)明显高于B组(25.0%,P〈0.05),但A组早期死亡率(20.8%)高于B组(10.0%);骨髓抑制时间A组(19天)长于B组(12天),不良反应发生率A组(95.8%)亦明显高于B组(75.0%)。C组缓解率高,骨髓抑制时间缩短,早期死亡率降低,不良反应发生率亦明显降低(P〈0.05)。结论老年AML治疗方案应个体化,预激方案化疗值得考虑。

关 键 词:白血病  髓细胞性  急性  化疗  老年

The clinical studies of acute myelogenous leukemia in aged patients
WANG Xiu-mei,LIU Ying,WU Yong-bi. The clinical studies of acute myelogenous leukemia in aged patients[J]. , 2008, 20(6): 1207-1209
Authors:WANG Xiu-mei  LIU Ying  WU Yong-bi
Affiliation:WANG Xiu-mei,LIU Ying,WU Yong-bi(Department of Hematology,The First People Hospital of Guangyun,Guangyun 628017,Sichuan,China)
Abstract:Objective To study the treatment of the aged patients with acute myelogenous leukemia.Method92 aged patientswith acute leukemia were divided into Group A(24) treated with standard dose regimen,Group B(20) with palliative regimen and Group C(31) with CAG regimen group.The clinical characteristrics and treatment results of the patients were analyzed.Result The complete remission(CR) of Group A was remarkably higher than that of Group B,But the rate of early stage death of Group A was higher than that of Group...
Keywords:Acute myelogenous leukemia  Chemotherapy  Elderly  
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