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小剂量美罗华治疗原发免疫性血小板减少症的临床疗效观察 被引量:8

Efficacy of Low-dose Rituximab for Patients with Immune Trombocytopenia
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摘要 目的观察小剂量美罗华治疗免疫性血小板减少症(ITP)的疗效.方法选择ITP患者20例,用小剂量美罗华治疗(剂量为100 mg/次,每周1次,连续4周),观察血小板计数及不良反应.结果总反应率(OR)和完全反应率(CR)分别为70%,95%CI 45.8%~88.1%和45%,95%CI 23.2%~68.6%,中位反应时间为38(16~92)d.结论小剂量美罗华可作为对常规治疗无效患者一种有效的治疗. Objective To evaluate the efficacy of low-dose rituximab on immune thrombocytopenia(ITP).Method Twenty patients were given 100mg rituximab weekly for four weeks,the platelet count and adverse events were observed.Results Overall and complete response(OR and CR)rates were 70% and 45%,respectively.The median time to response was 38(16-92) day.Conclusion The low-dose rituximab regimens(100 mg weekly for four weeks)is effective for patients with ITP.
出处 《昆明医科大学学报》 CAS 2012年第11期99-101,共3页 Journal of Kunming Medical University
关键词 小剂量 美罗华 疗效 免疫性血小板减少症 Low-dose Rituximab Treatment efficacy Immune thrombocytopenia
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参考文献6

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  • 5Khellaf M, Charles-Nelson A, Fain O, et el.Safety and efficacy of rituximab in adult immune thrumbocytopenia: results from a prospective registry including 248 patients[J].Blood, 2014, 124(22): 3228-3236.
  • 6Alhabsi K, Alkhabori M, Atmuslahi M, et al.Rituximab leads to long remissions in patients with cilronic immune thrombocytopenia[J].Oman Medical Journal, 2015, 30(2): 111-114.
  • 7Zaja F, Volpetti S, Chiozzotto M, et al.Long-term follow-up analysis after rituximab salvage therapy in adult patients with immnne thrombocytopenia[J].American Journal of Hematology, 2012, 87(9): 886-889.
  • 8Gomez-Almaguer D, Tarin-Arzaga L, Moreno-Jaime B, et al. High response rate to low-dose rituximab plus high-dose dexamethasone as frontline therapy in adult patients with primary immune thrombocytopenia[J].European Journal of Haematology, 2013, 90(6): 494-500.
  • 9徐丽,杜春辉,吐尔逊江,刘加军.利妥昔单抗联合白介素-11治疗难治性特发性血小板减少性紫癜的疗效观察[J].中华临床医师杂志(电子版),2012,6(24):8362-8363. 被引量:4
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