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| Curative Effects of Rituximab Combined with Chemotherapy in the Treatment of Diffuse Large B Cell Lymphoma |
| HUANG Jing |
| Huai'an First Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 223000, China |
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Abstract 【Objective】 To investigate the efficacy of rituximab combined with chemotherapy in patients with diffuse large B cell lymphoma (DLBCL). 【Methods】 According to different treatment regimens, 95 patients with DLBCL were divided into two groups. The observation group was treated with rituximab combined with chemotherapy (CHOP), while the control group was treated with chemotherapy alone. The short-term efficacy, adverse reactions and changes of lymphocyte subsets pre- and post- treatment were compared between the two groups. The 3-year survival rates of the two groups were also calculated. 【Results】 ①The short-term overall response rate of the observation group was 86% (43/50), which was significantly higher than that of the control group 62.22% (28/45) (P<0.05). ②There were no significant differences in levels of total T cells, CD4+, CD8+ or NK cells in the observation group before and after treatment (P>0.05), however, the level of B cells in the observation group after treatment was significantly lower than that in the control group (P<0.05). ③There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). ④During 1-year and 3-year follow-up, the 1-year progression-free survival rate (80%,40/50) and 1-year total survival rate (92%,46/50) of the observation group were significantly higher than those in the control group (57.78% and 75.56%, respectively) (P<0.05). The 3-year progression-free survival rate of the observation group was significantly higher than that of the control group (P<0.50), while there was no significant difference in 3-year total survival rate (P>0.05). 【Conclusion】 Compared to chemotherapy (CHOP) alone, rituximab combined with CHOP chemotherapy can significantly improve the short-term efficacy in patients with DLBCL, significantly improve the progression free survival rate, and, furthermore, does not increase the adverse reactions of chemotherapy. The regimen has little effect on T lymphocytes and NK cells though it significantly reduces B lymphocytes.
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Received: 03 December 2017
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2018, Vol. 35 
