Carcò F, Guazzotti G
Divisione Malattie Infettive, Ospedale S. Andrea, USSL 45, Vercelli.
Recenti Prog Med. 1993 Nov;84(11):756-64.
The Authors have carried out a study on the therapeutic effect of thymostimulin in HIV-positive subjects with lymphoadenopathy syndrome. Of the 140 selected patients, 70 were subjected to a treatment with thymostimulin (50 mg/die i.m. for 30 days + 50 mg/3 times a week i.m. in the second, third and fourth month + 50 mg/once a week i.m. in the fifth and sixth month) and of these patients, 60 completed the treatment and the estimated follow-up of twelve months. At the end of this period the following observations were made about the group treated: 1) improvement of the skin reaction to the Multitest (CMI) antigens in 66.7% of the cases, no changes in 30% of the cases and deterioration in 3.3% of the cases; 2) the total T-lymphocytes show an increase in the 6th month, remaining stable for the check-ups of the 9th and 12th months; 3) a significant increase of the CD4 lymphocytes in the 6th month with CD4/CD8 ratio close to the normal values, remaining the same even at the end of the follow-up; 4) during the study none of the treated patients developed opportunistic infections or HIV-related neoplasms. The results were also subjected by the Authors to statistical analyses between the two groups and therefore testify to a favourable effect of thymostimulin with an improvement in the laboratory indications taken into consideration and, above all, the quality of life.
作者开展了一项关于胸腺刺激素对患有淋巴结病综合征的HIV阳性受试者治疗效果的研究。在140名选定的患者中,70名接受了胸腺刺激素治疗(50毫克/天,肌肉注射,共30天;在第二、第三和第四个月,50毫克/周,肌肉注射3次;在第五和第六个月,50毫克/周,肌肉注射1次),其中60名患者完成了治疗并进行了为期十二个月的随访评估。在这一阶段结束时,对治疗组有以下观察结果:1)66.7%的病例对多种试验(CMI)抗原的皮肤反应有所改善,30%的病例无变化,3.3%的病例病情恶化;2)总T淋巴细胞在第6个月有所增加,在第9个月和第12个月的检查中保持稳定;3)第6个月时CD4淋巴细胞显著增加,CD4/CD8比值接近正常值,随访结束时仍保持不变;4)在研究期间,接受治疗的患者均未发生机会性感染或与HIV相关的肿瘤。作者还对两组结果进行了统计分析,证实胸腺刺激素具有良好效果,改善了所考虑的实验室指标,尤其是生活质量。