Abstract
Objective:To analyze the efficacy and safety of decitabine combined with CAG ((cytarabine + aclacinomycin + granulocyte colony stimulating factor)) regimen and CAG regimen alone in the treatment of elderly acute myeloid leukemia.Methods:96 elderly patients with acute myeloid leukemia who were admitted to our hospital from July 2015 to July 2017 were randomly divided into an observation group and a control group, 48 cases in each group. The patients in the control group were treated with CAG regimen, while the patients in the observation group were treated with decitabine on the basis of the control group. The clinical curative effect, changes of immune indicators, occurrence of adverse reactions and survival rate at different time after treatment were compared between the two groups.Results:The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). After treatment, the indicators of cellular immunity in the two groups were significantly lower than those before treatment, and the indicators of cellular immunity in the observation group were significantly lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). The 9-month survival rate and 1-year survival rate in the observation group were significantly higher than those in the control group (P<0.05).Conclusion:The combination of decitabine and CAG regimen is effective in the treatment of elderly patients with acute myeloid leukemia. The therapy can fully inhibit cellular immune function and improve long-term survival rate, and its safety has a small difference with that of CAG regimen alone. It is worth clinical promotion.
Highlights
Acute myeloid leukemia, one of the most common acute leukemia in clinic, has characteristics of high heterogeneity and invasiveness
CAG regimen is the main chemotherapeutic regimen for acute myeloid leukemia, which has been widely used in clinic, but its effect is not very satisfactory, which is mainly because of the weak body function, poor tolerance and decline of hematopoietic function of bone marrow in elderly patients.[5,6]
Ninety-six elderly patients with acute myeloid leukemia who were admitted to our hospital from July 2015 to July 2017 were selected
Summary
One of the most common acute leukemia in clinic, has characteristics of high heterogeneity and invasiveness. Pak J Med Sci January - February 2020 Vol 36 No 2 www.pjms.org.pk 141 with acute myeloid leukemia are in serious condition and have a dangerous prognosis and high mortality rate.[3,4] CAG regimen (cytarabine + aclacinomycin + granulocyte colony stimulating factor) is the main chemotherapeutic regimen for acute myeloid leukemia, which has been widely used in clinic, but its effect is not very satisfactory, which is mainly because of the weak body function, poor tolerance and decline of hematopoietic function of bone marrow in elderly patients.[5,6]
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