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应用HA方案(三尖杉酯硷联合阿糖胞苷)剂量个体化治疗23例老年人慢性粒细胞白血病(慢粒),完全缓解(CR)率为69.6%,CR平均所需15.4天,平均持续CR时间为34.3月,均显著高于单用马利兰/羟基脲组;骨髓抑制发生率为34.8%,但经间歇期后均恢复正常.bcr/ablmRNA阳性病例的CR率为85.7%(12/14)优于bcr/ablmRNA阴性病例(0/3).本资料显示:HA方案剂量个体化治疗老年人慢粒缓解率高,CR所需时间短,维持CR时间长,副作用小,是老年人慢粒治疗较满意方案.
Twenty-three elderly patients with chronic myeloid leukemia (CML) were treated with the HA regimen (harringtonine combined with cytarabine) in a dose-specific manner. The complete remission (CR) rate was 69.6%, and the mean CR was 15. At 4 days, the average duration of CR was 34.3 months, which was significantly higher than that of the single use of the maleic acid/hydroxyurea group. The incidence of myelosuppression was 34.8%, but it returned to normal after the intermittent period. The CR rate of bcr/abl mRNA positive cases was 85.7% (12/14) better than bcr/abl mRNA negative cases (0/3). The data show that: HA regimen individualized treatment of elderly patients with high rate of chronic remission, CR requires a short time, to maintain a long CR time, side effects, is a more satisfactory program for the treatment of chronic granules in the elderly.