Effect of Recombinant Human Interleukin-11 on Oral Mucositis Associated with Allogeneic Hematopoietic Stem Cell Transplantation

Xiuling Chen, Yu Ding, Fuxiang Luo, Chunli Wang
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Abstract

Background: Hematopoietic stem cell transplantation gives new life to malignant hematologic patient. However, oral mucositis caused by graft-versus-host disease affects the quality of life of patients. Objective: To observe the efficacy of recombinant human interleuko-11 in the treatment of allogeneic hematopoietic stem cell transplantation associated with oral mucositis. Methods: 54 patients requires an allogeneic hematopoietic stem cell transplantation in patients with hematological clinical observation research, the control group was 0.05% acetic acid chloride solution is folinic acid joint and diluent containing wash, the experimental group on the basis of the join recombinant human interleukin - 11 atomization and contain gargle, comparing curative effect, the ulcer healing time and pain, anxiety and depression scores, as well as oral infections. Results: the efficacy of recombinant human interleukin-11 treatment group was better than that of control group (X2=4.43; P = 0.035); Nebulized inhalation and gargle containing recombinant human interleuk-11 significantly reduced the mean healing days of oral ulcers (Experimenta group A vs. control group C, P=0.05, P=0.004, P=0.000). Experimental group B vs. control group C, P=0.045, P=0.005, P=0.000) and can reduce the occurrence of pain and bad mood. Conclusion: recombinant human interleukin-11 is effective in the treatment of oral mucositis associated with allogeneic hematopoietic stem cell transplantation. It can effectively shorten the course of disease and reduce the incidence of oral infection, anxiety and depression while reducing the pain of patients.
重组人白细胞介素-11对异基因造血干细胞移植所致口腔黏膜炎的影响
背景:造血干细胞移植给恶性血液病患者带来了新的生命。然而,移植物抗宿主病引起的口腔黏膜炎影响患者的生活质量。目的:观察重组人白细胞介素-11治疗同种异体造血干细胞移植合并口腔黏膜炎的疗效。方法:对54例需要异基因造血干细胞移植的患者进行血液学临床观察研究,对照组采用0.05%醋酸氯溶液联合含亚叶酸的稀释液冲洗,试验组在此基础上加入重组人白细胞介素- 11雾化并含含含漱液,比较疗效、溃疡愈合时间、疼痛、焦虑抑郁评分以及口腔感染情况。结果:重组人白细胞介素-11治疗组疗效优于对照组(X2=4.43;P = 0.035);含有重组人白细胞介素-11的雾化吸入和含漱液显著减少口腔溃疡的平均愈合天数(实验A组与对照组C比较,P=0.05, P=0.004, P=0.000)。实验B组与对照组C比较,P=0.045, P=0.005, P=0.000),可减少疼痛和不良情绪的发生。结论:重组人白细胞介素-11可有效治疗同种异体造血干细胞移植所致口腔黏膜炎。可有效缩短病程,减少口腔感染、焦虑、抑郁的发生率,同时减轻患者的痛苦。
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