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李莉, 高贝贝, 孙健, 闫金松. 老年非霍奇金淋巴瘤R-CHOP14治疗方案疗效评价[J]. 中国公共卫生, 2013, 29(9): 1358-1360. DOI: 10.11847/zgggws2013-29-09-34
引用本文: 李莉, 高贝贝, 孙健, 闫金松. 老年非霍奇金淋巴瘤R-CHOP14治疗方案疗效评价[J]. 中国公共卫生, 2013, 29(9): 1358-1360. DOI: 10.11847/zgggws2013-29-09-34
LI Li, GAO Bei-bei, SUN Jian.et al, . Efficacy of R-CHOP14 treatment regimen for elderly patients with non-Hodgkins lymphoma[J]. Chinese Journal of Public Health, 2013, 29(9): 1358-1360. DOI: 10.11847/zgggws2013-29-09-34
Citation: LI Li, GAO Bei-bei, SUN Jian.et al, . Efficacy of R-CHOP14 treatment regimen for elderly patients with non-Hodgkins lymphoma[J]. Chinese Journal of Public Health, 2013, 29(9): 1358-1360. DOI: 10.11847/zgggws2013-29-09-34

老年非霍奇金淋巴瘤R-CHOP14治疗方案疗效评价

Efficacy of R-CHOP14 treatment regimen for elderly patients with non-Hodgkins lymphoma

  • 摘要: 目的对利妥昔单克隆抗体联合CHOP方案(R-CHOP14)治疗老年非霍奇金淋巴瘤(NHL)的临床疗效、不良反应进行研究和分析,并了解其对免疫功能的影响。方法采用回顾性研究分析方法,将70例老年非霍奇金淋巴瘤患者分为R-CHOP14组24例、CHOP14组23例及CHOP21组23例,6个疗程后,观察3组的临床疗效及不良反应的发生情况。结果R-CHOP14组患者的完全缓解率为70.8%,总有效率为83.3%;CHOP14组患者的完全缓解率为39.2%,总有效率为65.2%;CHOP21组患者的完全缓解率为34.8%,总有效率为56.6%;RCHOP14组患者的完全缓解率高于CHOP14组及CHOP21组;疗效差异有统计学意义(P<0.05);3组患者间不良反应发生率差异无统计学意义(P>0.05)。结论R-CHOP方案治疗老年非霍奇金淋巴瘤疗效好,不良反应小,效价比高,耐受好,但会使免疫功能受损,感染发生率增加。

     

    Abstract: ObjectiveTo explore adverse reactions and clinical efficacy of treatment regimen of rituximab monoclonal antibody combined with CHOP regimen(R-CHOP14)for elderly patients with non-Hodgkin's lymphoma(NHL) and to examine the influence of R-CHOP14 on immune function.MethodsWith a retrospective study,70 elderly patients with NHL were divided into R-CHOP14 regimen group(24),CHOP14 group(23),and CHOP21 group(23).After 6 courses of treatment,the efficacy and the occurrence of adverse reactions were observed.ResultsThe rate of complete remission(CR)of the R-CHOP14 group was 70.8%,with an overall effective rate of 83.3%.The CR rate of the CHOP14 group was 39.2% with an overall effective rate of 65.2%.The CR rate of the CHOP21 group was 34.8%,with an overall effective rate of 56.6%.The CR rate of R-CHOP14 group was significantly higher than that of CHOP14 group and CHOP21 group.But adverse reactions showed no significant difference among the 3 groups(P> 0.05).ConclusionR-CHOP14 treatment regimen for elderly patients with NHL has good efficacy and less side effects,high titer,good tolerance,but it could lead to impaired immune function and increase in infection incidence.

     

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