蘆可替尼治療骨髓纖維化的療效與安全性

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中圖分類號R559；R969.3 文獻標志碼A 文章編號 1001-0408（2025）14-1781-05

DOI 10.6039/j.issn.1001-0408.2025.14.16

ABSTRACTOBJECTIVETo explore the eficacyand safetyof ruxolib in the treatmentof myelofibrosis （MF）.METHODS Aretrospectivecollctionofdata wasconductedon42MFpatients whoweretreated withruxolitibinastandardized manerfor morethan6monthsintheThirdPeople'sHospitalofBengbufromSeptember2018toApril2024.Theclinicalsymptomscores， spleensizereduction，andMFgradingof thepatientsbeforeandaftertreatment wereanalyzed.Addionally，theoccurrenceof adverse reactions withacausalityassessmentresultof“definite”“probable”or“posible”wasrecorded.Thepatients’survival status was follwedup.RESULTS After6monthsof reatment，both clinicalsymptomscoresandthetotalscore weresignificantly decreased than before treatment （ ?P<0.05 ）.The length and thickness of the spleen were significantly shorter than before treatment （ ?<0.05 ）.MFclasificationin5patients decreasedby1levelcompared with baseline，1casewas level2and droppedto level0， 14patientsremained stable.Themainadversereactionswereanemia（26cases），thrombocytopenia（14cases），infection（11 cases），and gastrointestinal discomfort （9 cases）.Thirty-nine patients survived，with a survival rate of 92.86% .CONCLUSIONS RuxolitinibcanefectivelyimprovetheclinicalsymptomsofpatientswithMF，shrinkthesplee，stabilizeandevenimproveMF grading，andholdspromiseforbringinglong-termsurvivalbenefitstoMFpatients.Adversereactionsaremainlyanemia， thrombocytopenia，infection and gastrointestinal discomfort.

KEYWORDSruxolitinib；myelofibrosis；efficacy；safety

經(jīng)典型骨髓增殖性腫瘤（myeloproliferativeneo-plasms，MPNs）是一組由造血干細胞克隆性增殖引起的疾病，包括原發(fā)性骨髓纖維化（primarymyelofibrosis，PMF）、原發(fā)性血小板增多癥（essentialthrombocythemia，ET）和真性紅細胞增多癥（polycythemiavera，PV）[]。（剩余10568字）