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外周血造血干细胞动员采集264例临床分析
  • ISSN号:1671-8348
  • 期刊名称:《重庆医学》
  • 时间:0
  • 分类:R457.1[医药卫生—治疗学;医药卫生—临床医学] R457.7[医药卫生—治疗学;医药卫生—临床医学]
  • 作者机构:[1]第三军医大学新桥医院血液内科、重庆市医学重点学科,重庆400037
  • 相关基金:国家自然科学基金资助项目(39770335,30070327,30670890);重庆市医学重点学科建设基金资助项目(2006C028);第三军医大学新桥医院“1520人才培养工程”基金资助项目(2006).
中文摘要:

目的探讨外周血造血干细胞动员采集的方法及其效果。方法对恶性血液病患者及健康供者经单一生长因子和化疗联合生长因子方案动员后,使用CS3000 Plus3000血细胞分离机(Baxter公司)进行外周血造血干细胞采集,对不同动员方案、疾病、年龄、性别及供者的动员采集效果进行分析。结果所有患者均成功动员采集。健康供者较恶性血液病患者动员效果佳;在恶性血液病中,非霍奇金淋巴瘤动员效果最好,多发性骨髓瘤最差。恶性血液病患者中,采集所获得的单个核细胞数中,非霍奇金淋巴瘤最好,多发性骨髓瘤最差,在采集所获得的CD34+细胞数中,急性淋巴细胞白血病最好,多发性骨髓瘤最差;化疗联合G-CSF和IL-11为最好的动员方案;成人采集效果最好,老年患者最差;男性较女性好。健康供者男女采集效果无差别;健康供者较恶性血液病患者采集效果好。无论是健康供者还是恶性血液病患者,动员采集过程中不良反应较小。结论根据不同的疾病、性别、年龄,采用不同的动员采集方案,一般可以成功采集。

英文摘要:

Objective To investigate the method and efficiency of mobilization and collection of peripheral hematopoietic stem cells. Methods After mobilization with single cytokine and combination of chemotheraphy with cytokine of the patients of malignant hemopathy and the heathy donors, the peripheral blood hematopoietic stem cells were collected by CS3000 PLUS blood cell separator (Baxter corporation). The result of mobilizatin and collection for different diseases, ways of mobilization, age, sex and donor was analyzed. Results All cases were successful in mobilization and collection. The result of mobilization of the heathy donors was better than that of the patients of malignant hemopathy. In the patients of malignant hemopathy, the result of mobilization for non-Hodgkin lymphoma was the best and multiple myeloma was the worst, acute nonlymphoblastic leukemia was the best and multiple myeloma was the worst for the number of monocular nuclear cell of collection and acute lymphoblastic leukemia was the best and multiple myeloma was the worst for CD34^+ ,the best protocol of mobilization was combination of chemotheraphy with G-SCF and IL-11, the best efficiency of collection was adults and older patients was the worst, and man was better than women. There was no difference in collection between sex in the healthy donors. The result of collection in the healthy donors was better than that in the patients of malignant hemopathy. Adverse effect was little in the course. Conclusion It can successfully collect peripheral hematopoietic stem cells with different protocol according to different dieases, sex and age.

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期刊信息
  • 《重庆医学》
  • 北大核心期刊(2011版)
  • 主管单位:重庆市卫生和计划生育委员会
  • 主办单位:重庆市卫生信息中心
  • 主编:吴开明
  • 地址:重庆市渝北区回兴唐家沟宝环路420号
  • 邮编:401120
  • 邮箱:
  • 电话:023-61965157
  • 国际标准刊号:ISSN:1671-8348
  • 国内统一刊号:ISSN:50-1097/R
  • 邮发代号:78-27
  • 获奖情况:
  • “中国科技论文在线”2011年“一等奖”,2012年重庆市新闻出版局“重庆报刊发展专项基金”
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,美国剑桥科学文摘,中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:91150