دورية أكاديمية

[Effect of Huangqi injection on short-term prognosis in children with acute lymphoblastic leukemia].

التفاصيل البيبلوغرافية
العنوان: [Effect of Huangqi injection on short-term prognosis in children with acute lymphoblastic leukemia].
المؤلفون: Yan PH; Department of Pediatrics, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China. yan10mei25@163.com., Yan M, Wang XM, Wang SH
المصدر: Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics [Zhongguo Dang Dai Er Ke Za Zhi] 2014 Feb; Vol. 16 (2), pp. 141-6.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: Chinese
بيانات الدورية: Publisher: Zhongguo dang dai er ke za zhi she Country of Publication: China NLM ID: 100909956 Publication Model: Print Cited Medium: Print ISSN: 1008-8830 (Print) Linking ISSN: 10088830 NLM ISO Abbreviation: Zhongguo Dang Dai Er Ke Za Zhi Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Changsha : Zhongguo dang dai er ke za zhi she, 1999-
مواضيع طبية MeSH: Drugs, Chinese Herbal/*therapeutic use , Precursor Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy, Astragalus Plant ; Astragalus propinquus ; Child ; Child, Preschool ; Female ; Humans ; Incidence ; Induction Chemotherapy ; Injections ; Male ; Neoplasm, Residual/epidemiology ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/mortality ; Prognosis
مستخلص: Objective: To investigate the effect of Huangqi injection on the short-term prognosis in childhood with acute lymphoblastic leukemia (ALL).
Methods: A retrospective analysis was performed on the clinical data of 105 children newly diagnosed with ALL between January 2009 and December 2012. These children were randomly divided into treatment group (18 low-risk cases, 7 medium-risk cases, and 24 high-risk cases) and control group (21 low-risk cases, 7 medium-risk cases, 28 high-risk cases). Both groups were given remission induction therapy based on the levels of risk. Throughout the remission induction therapy, the treatment group also received Huangqi injection (0.5-1.0 mL/kg per day) by intravenous infusion, while the control group was given 0.9% sodium chloride injection instead. The two groups were compared in terms of distribution of prognostic factors and complete remission (CR) rate after remission induction therapy, as well as the incidence of minimal residual disease (MDR) (≥ 10(-4) and < 10(-4)) among all patients in the two groups on day 19 of remission induction therapy and among B-ALL patients in the two groups when achieving a CR at the end of remission induction therapy.
Results: Of the 105 children with ALL, 99 had B-ALL, and 6 had T-ALL. There were no significant differences in the distribution of prognostic factors between the two groups (P>0.05). The overall CR rate of 105 patients was 79%; there was no significant difference in CR rate between the treatment and control groups (82% vs 77%; P>0.05); also, no significant differences were found between the two groups in the CR rates among high-, medium-, and low-risk cases (P>0.05). On day 19 of remission induction therapy, the incidence of MRD≥10(-4) in the treatment group was significantly lower than that in the control group (69% vs 95%; P<0.05); among 80 children with B-ALL who achieved a CR (43 cases in the control group and 37 cases in the treatment group), the incidence of MRD≥10-4 was significantly lower in the treatment group than in the control group (27% vs 58%; P<0.05); in both circumstances above, the high- and low-risk cases in the treatment group had a significantly lower incidence of MRD≥10(-4) than the control group (P<0.05).
Conclusions: Huangqi injection combined with chemotherapy has an enhanced anti-tumor effect and can improve the short-term prognosis and clinical outcome in children with ALL.
المشرفين على المادة: 0 (Drugs, Chinese Herbal)
922OP8YUPF (Huang Qi)
تواريخ الأحداث: Date Created: 20140227 Date Completed: 20140915 Latest Revision: 20211203
رمز التحديث: 20240628
PMID: 24568906
قاعدة البيانات: MEDLINE