nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2024, 09, v.43 1024-1030
中医药治疗慢性淋巴细胞白血病及伊布替尼不良反应个案报道
基金项目(Foundation): 中华中医药学会血液病分会血液病优势病种相关基础实验研究(编号:202169-004)
邮箱(Email): shifengqinbj@sina.com;
DOI: 10.16295/j.cnki.0257-358x.2024.09.019
摘要:

回顾性分析北京中医药大学东直门医院收治的1例伊布替尼治疗慢性淋巴细胞白血病致肺部感染患者的临床资料,并复习相关文献。该患者在服用伊布替尼治疗时并发肺部感染,遂停药,结合中医药治疗后感染症状得到控制,后继续坚持口服中药治疗,慢性淋巴细胞白血病的相关症状得到改善,且未再发生感染。针对长时间应用伊布替尼治疗慢性淋巴细胞白血病的患者,需警惕肺部真菌感染的发生。中医药在治疗慢性淋巴细胞白血病中,能够防止各类感染的发生,提高机体耐受力,延长患者生存期。

Abstract:

The clinical data of a patient with pulmonary infection caused by chronic lymphocytic leukemia treated with ibrutinib in Dongzhimen Hospital of Beijing University of Chinese Medicine were retrospectively analyzed,and the relevant literature was reviewed. The patient was complicated with pulmonary infection during ibrutinib treatment,so ibrutinib was stopped and traditional Chinese medicine treatment was combined,and the infection symptoms were controlled. After continued to adhere to oral traditional Chinese medicine treatment,the symptoms related to chronic lymphocytic leukemia were relieved,and there was no recurrence of infection. For patients with chronic lymphocytic leukemia treated with ibrutinib for a long period of time,it is necessary to be alert to the occurrence of pulmonary fungal infection. Traditional Chinese medicine can prevent the occurrence of various infections,improve the body tolerance,prolong the survival of patients in the treatment of chronic lymphocytic leukemia.

参考文献

[1] SIEGEL R L,MILLER K D,JEMAL A. Cancer statistics,2020[J]. CA Cancer J Clin,2020,70(1):7-30.

[2] HALLEK M. Chronic lymphocytic leukemia:2020 update on diagnosis,risk stratification and treatment[J]. Am J Hematol,2019,94(11):1266-1287.

[3]王新月,崔健.伊布替尼治疗复发或难治性慢性淋巴细胞白血病的临床疗效分析[J].宁夏医科大学学报,2022,44(8):806-811.

[4] PERUTELLI F,MONTALBANO M C,BOCCELLATO E,et al. Beyond ibrutinib:novel BTK inhibitors for the treatment of chronic lymphocytic leukemia[J]. Curr Opin Oncol,2022,34(6):757-767.

[5]中国抗癌协会血液肿瘤专业委员会,中华医学会血液学分会,中国慢性淋巴细胞白血病工作组.中国慢性淋巴细胞白血病/小淋巴细胞淋巴瘤的诊断与治疗指南(2022年版)[J].中华血液学杂志,2022,43(5):353-358.

[6]郭文亭,邢思慧,陈燕,等.葶苈子及其复方对腹水治疗作用的研究进展[J].中国中医药现代远程教育,2018,16(6):157-158,封3.

[7] KIM S B,SEO Y S,KIM H S, et al. Anti-asthmatic effects of lepidii seu Descurainiae Semen plant species in ovalbumin-induced asthmatic mice[J]. J Ethnopharmacol,2019,244:112083.

[8]吕黎明,张来宾,吕洁丽.茯苓的化学成分、药理作用及临床应用[J].滨州医学院学报,2024,47(1):61-67.

[9]王悦,田双双,刘晓谦,等.茯苓多糖的提取、结构及药理作用研究进展[J].世界中医药,2021,16(17):2548-2555.

[10]王倩倩,陈豪,辛泰然,等.基于数据挖掘的葶苈大枣泻肺汤“泻肺”内涵及临床配伍规律探析[J].世界科学技术-中医药现代化,2021,23(7):2434-2439.

[11] DENG M,CHEN H,LONG J,et al. Atractylenolides(Ⅰ,Ⅱ,andⅢ):a review of their pharmacology and pharmacokinetics[J]. Arch Pharm Res,2021,44(7):633-654.

[12] LIN H C,PAUL C R,KUO C H, et al. Glycyrrhiza uralensis root extract ameliorates high glucose-induced renal proximal tubular fibrosis by attenuating tubular epithelial-myofibroblast transdifferentiation by targeting TGF-β1/Smad/Stat3 pathway[J]. J Food Biochem,2022,46(5):e14041.

[13]许崇艳,马志强,牛占恩.八珍汤对急性白血病化疗后骨髓抑制的疗效观察及部分机制探析[J].世界中医药,2019,14(8):2077-2082.

[14]贾磊,张跃强.八珍汤加减对肺癌化疗后骨髓抑制的影响[J].北方药学,2018,15(1):53.

[15]叶青,刘东升,王兰霞,等.茯苓化学成分、药理作用及质量控制研究进展[J].中医药信息,2023,40(2):75-79.

[16]李泽宇,郝二伟,李卉,等.甘草配伍应用的药理作用及机制分析[J].中国实验方剂学杂志,2022,28(14):270-282.

[17]何晓莉,陈凤鸣,吴宏,等.当归多糖对辐射损伤小鼠骨髓单个核细胞凋亡的影响[J].中国组织化学与细胞化学杂志,2014,23(2):165-170.

[18]张晓娟,张燕丽,左冬冬.川芎的化学成分和药理作用研究进展[J].中医药信息,2020,37(6):128-133.

[19]杨山景,封安杰,孙越,等.白芍总苷的药理作用及机制研究进展[J].中国现代应用药学,2021,38(13):1627-1633.

[20]赵婧含,李雪,吴文轩,等.熟地黄的化学成分及药理作用研究进展[J].中医药学报,2023,51(6):110-114.

[21] LEITINGER D E,KAPLAN D Z. BTK inhibitors in haematology:beyond B cell malignancies[J]. Transfus Med Rev,2022,36(4):239-245.

[22] MATO A R,NABHAN C,THOMPSON M C,et al.Toxicities and outcomes of 616 ibrutinib-treated patients in the United States:a real-world analysis[J].Haematologica,2018,103(5):874-879.

[23]宋敏,张子雨,张宏伟,等.基于FAERS数据库的伊布替尼不良事件信号挖掘研究[J].肿瘤药学,2021,11(4):406-412.

[24] CHENG S,MA J,GUO A,et al. BTK inhibition targets in vivo CLL proliferation through its effects on B-cell receptor signaling activity[J]. Leukemia,2014,28(3):649-657.

[25] ESTUPI?áN H Y,BERGL?F A,ZAIN R,et al. Comparative analysis of BTK inhibitors and mechanisms underlying adverse effects[J]. Front Cell Dev Biol,2021,9:630942.

[26] MAFFEI R,MACCAFERRI M,ARLETTI L,et al. Immunomodulatory effect of ibrutinib:reducing the barrier against fungal infections[J]. Blood Rev,2020,40:100635.

[27] STEFANIA INFANTE M,FERNáNDEZ-CRUZ A,Nú?EZ L, et al. Severe infections in patients with lymphoproliferative diseases treated with new targeted drugs:a multicentric real-world study[J]. Cancer Med,2021,10(21):7629-7640.

[28]李阳,王济国,张晶,等.从脾肾论治慢性淋巴细胞白血病[J].光明中医,2022,37(21):3970-3972.

[29]杨小娜,郭建美,姚海英,等.中医药治疗白血病的研究进展[J].现代中西医结合杂志,2016,25(10):1134-1137.

基本信息:

DOI:10.16295/j.cnki.0257-358x.2024.09.019

中图分类号:R273

引用信息:

[1]田文灏,马薇,何晓玉,等.中医药治疗慢性淋巴细胞白血病及伊布替尼不良反应个案报道[J].山东中医杂志,2024,43(09):1024-1030.DOI:10.16295/j.cnki.0257-358x.2024.09.019.

基金信息:

中华中医药学会血液病分会血液病优势病种相关基础实验研究(编号:202169-004)

发布时间:

2024-09-05

出版时间:

2024-09-05

检 索 高级检索