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低度B细胞肿瘤患者免疫球蛋白替代疗法的交叉研究。

Crossover study of immunoglobulin replacement therapy in patients with low-grade B-cell tumors.

作者信息

Griffiths H, Brennan V, Lea J, Bunch C, Lee M, Chapel H

机构信息

Department of Immunology, John Radcliffe Hospital, Oxford, England.

出版信息

Blood. 1989 Feb;73(2):366-8.

PMID:2492832
Abstract

A randomized crossover study of prophylactic immunoglobulin (IgG) therapy was performed in patients with chronic lymphocytic leukaemia (CLL) or non-Hodgkin's lymphoma (NHL). Twelve patients with hypogammaglobulinemia or a history of recurrent infections received infusions of IgG or placebo intravenously (IV) every 3 weeks for 1 year. They were then switched to the alternative preparation for another year. The number of serious bacterial infections was significantly less (P = .001; Mainland's cross-over method) in the months in which patients received IgG. Serious bacterial infections showed a trend to be associated with an IgG level less than 6.4 g/L (P = .046; Fisher's exact test).

摘要

对慢性淋巴细胞白血病(CLL)或非霍奇金淋巴瘤(NHL)患者进行了预防性免疫球蛋白(IgG)治疗的随机交叉研究。12例低丙种球蛋白血症或有反复感染病史的患者每3周静脉注射(IV)IgG或安慰剂,持续1年。然后他们改用另一种制剂再治疗1年。在患者接受IgG的月份中,严重细菌感染的数量显著减少(P = .001;Mainland交叉法)。严重细菌感染显示出与IgG水平低于6.4 g/L相关的趋势(P = .046;Fisher精确检验)。

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