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CCLG-ALL2008诱导缓解方案化疗儿童急性淋巴细胞白血病的效果观察
黄欣, 高清平
武汉大学人民医院血液科
摘要:
目的探讨CCLG-ALL2008诱导缓解方案化疗儿童急性淋巴细胞白血病(ALL)的效果。方法回顾性选取ALL患儿134例,其中67例(观察组)给予CCLG-ALL2008诱导缓解方案化疗,另67例(对照组)给予常规多药联合化疗。观察并比较两组患儿疗效、化疗不良发应发生率、化疗后热休克蛋白90(Hsp90)表达水平、5年生存率。结果观察组患儿治疗有效率高于对照组(P<0.05),化疗不良反应发生率与对照组比较差异无统计学意义(P>0.05),化疗后Hsp90mRNA和蛋白表达水平均低于对照组(均P<0.05),5年生存率高于对照组(P<0.05)。结论CCLG-ALL2008诱导缓解方案化疗儿童ALL,效果确切,预后相对较佳,值得临床应用。
关键词:  CCLG-ALL2008 儿童急性淋巴细胞白血病 Hsp90 预后
DOI:10.12056/j.issn.1006-2785.2017.39.24.2017-1178
分类号:
基金项目:
Efficacy of CCLG-ALL2008 inducing remission chemotherapy in children with acute lymphoblastic leukemia
People's Hospital of Wuhan University
Abstract:
Objective To evaluate the efficacy of CCLG-ALL2008 induction chemotherapy in children with acute lymphoblastic leukemia (ALL). Methods One hundred and thirty four children with ALL were treated with chemotherapy, including 67 cases receiving CCLG-ALL2008 induced remission chemotherapy (study group) and 67 cases receiving conventional multi-drug combination chemotherapy (control group). The curative effect, incidence of adverse reactions, expression of heat shock protein 90 (Hsp90) after chemotherapy and the 5-year survival rate were observed and compared between the two groups. Results The effective rate in study group was higher than that in control group (P<0.05).There was no significant difference in incidence of adverse reactions between two groups (P >0.05). After chemotherapy, the expression of Hsp90 mRNA and protein in study group was lower, and the 5-year survival rate was higher than those in control group(P<0.05). Conclusion CCLG-ALL2008 inducing remission chemotherapy is more effective than conventional chemotherapy in children with ALL.
Key words:  CCLG-ALL2008 Childhood acute lymphoblastic leukemia Hsp90 Prognosis