Fukunaga K, Sawada K, Chikano S, Ohnishi K, Egashira A, Tanaka J, Nagase K, Satomi M, Shimoyama T
Department of Internal Medicine IV, Hyogo College of Medicine.
Nihon Rinsho. 1999 Nov;57(11):2496-502.
Leukocytapheresis(LCAP) and Granulocytapheresis(GCAP) are classified as extracorporeal circulation therapy(ECCT). These therapies are a novel, effective way to treat patients with ulcerative colitis(UC). During 7 weeks of intensive therapy(LCAP weekly, predonisolone(PSL) 30-80 mg/day), UC patients treated with LCAP revealed significant improvements on their subjective and objective symptoms compared to patients treated with PSL intravenous administration. Moreover, LCAP has been recognized as safer than other drugs for UC. In our previous study, only 9.9% out of 1,978 LCAP sessions showed some side effects, and most were mild and temporary. Therefore, LCAP could be the first choice to treat UC patients who resist and/or reveal severe complications against ordinary drug therapies.
白细胞单采术(LCAP)和粒细胞单采术(GCAP)被归类为体外循环疗法(ECCT)。这些疗法是治疗溃疡性结肠炎(UC)患者的一种新颖、有效的方法。在7周的强化治疗期间(每周进行LCAP,泼尼松龙(PSL)30 - 80毫克/天),与接受PSL静脉给药治疗的患者相比,接受LCAP治疗的UC患者在主观和客观症状方面有显著改善。此外,LCAP已被认为比治疗UC的其他药物更安全。在我们之前的研究中,1978次LCAP治疗中只有9.9%出现了一些副作用,且大多数副作用轻微且为暂时性。因此,LCAP可能是治疗对普通药物治疗有抵抗和/或出现严重并发症的UC患者的首选方法。