冻干人胎盘因子对肿瘤化疗病人外周血象影响的多中心随机对照研究

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目的:探讨冻干人胎盘因子(PF)对肿瘤化学治疗(化疗)病人外周血象的影响。方法:共收治69例,采用自身交叉随机对照研究,即均接受2个疗程相同方案的化疗,其中一个疗程为化疗+PF (化疗+PF组),另一个疗程单用化疗(单用化疗组)。化疗+PF组d1开始用PF,隔日1次,每次18mg,im,持续3~4wk。结果:化疗后白细胞(WBC)最低点:化疗+PF组为(3.0±s 1.1)×10~9·L~(-1),单用化疗组为(2.6±1.2)×10~9·L~(-1)(P<0.01);WBC恢复时间:化疗+PF组和单用化疗组分别为(5±4)d和(11±20)d(P=0.005)。未发现不良反应。结论:PF可改善化疗所引起的骨髓抑制,有助提高化疗的耐受性。 Objective: To investigate the effect of lyophilized human placental factor (PF) on peripheral blood of chemotherapy-treated patients. Methods: A total of 69 patients were enrolled in this study. They were randomized, cross-over, and randomized to receive two courses of chemotherapy with the same regimen. One course of chemotherapy was chemotherapy + PF (chemotherapy + PF) and the other was chemotherapy alone ). Chemotherapy + PF group d1 started with PF, every other day 1, each 18mg, im, lasting 3 ~ 4wk. Results: The lowest point of WBC after chemotherapy was (3.0 ± s 1.1) × 10 ~ 9 · L -1 in chemotherapy + PF group and (2.6 ± 1) in chemotherapy alone group. 2) × 10 ~ 9 · L -1 (P <0.01); WBC recovery time was (5 ± 4) days and (11 ± 20) days P = 0.005). No adverse reactions found. Conclusion: PF can improve the myelosuppression caused by chemotherapy, and help to improve the chemotherapy tolerance.
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