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复发性非霍奇金淋巴瘤应用IEBP治疗35例疗效观察 被引量:4

Recurrent non-Hodgkin′s lymphoma application IEBP treatment of 35 patients
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摘要 目的:评价由异环磷酸胺、鬼臼乙叉甙、平阳霉素、泼尼松组成的IEBP方案治疗复发或难治性非霍奇金淋巴瘤(NHL)的疗效及安全性。方法:选取本院2007年1月~2010年1月收治的35例复发或难治性非霍奇金淋巴瘤接受新方案即IEBP方案化疗,具体为异环磷酸胺每天1.5g/m2,鬼臼乙叉甙100mg/d,连用3d;平阳霉素20mg/m2于第1天给予,泼尼松30mg/d,口服,于1~14d给予。治疗周期为21d。完成4周期以上者作疗效评价并观察毒副作用。结果:35例患者中,完全缓解(CR)14例,部分缓解(PR)9例,总有效率为65.7%,主要毒副作用为白细胞减少、骨髓抑制、脱发、胃肠道反应等,患者均能够耐受。结论:IEBP是治疗复发或难治性非霍奇金淋巴瘤安全、有效的解救方案之一,值得进一步推广。 Objective: To evaluate the efficacy and safety of the different cyclic amines, etoposide, bleomycin, prednisone regimen consisting of IEBP relapsed or refractory non-Hodgkin's lymphoma (NHL). Methods: Chose the 35 cases patients in our hospital from January 2007 to January 2010 were treated of relapsed or refractory non-Hodgkin's lymphoma receiving the new program IEBP chemotherapy. In particular, different cyclic amines day 1.5 g/m2, ghost mortar etoposide 100 mg/day, act 3 days; Bleomycin 20mg/m2 given in 1 day, prednisone 30 rag/day, orally, given in 1-14 days. Treatment period of 21 days. 4 cycles or more for complete evaluation of the efficacy and side effects observed. Results: In 35 patients had 14 cases complete remission (CR) and 9 cases partial remission (PR). The total efficiency was 65.7%. The main side effects were neutropenia, bone marrow suppression, alopecia and gastrointestinal reactions. Patients were all resistant to subject. Con- dusion: The IEBP is the treatment of relapsed or refractory non-Hodgkin's lymphoma safe and effective rescue plan and worthy of further promotion.
作者 唐文 罗勇忠
出处 《中国当代医药》 2011年第34期23-24,共2页 China Modern Medicine
关键词 复发或难治性非霍奇金淋巴瘤 化疗 IEBP方案 异环磷酸胺 鬼臼乙叉甙 平阳霉素 泼尼松 Non--Hodgkin lymphoma Chemotherapy IEBP programs Ifosfamide Etoposide PYM Prednisone
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