Efficacy of Low-Dose Rituximab in Primary Immune Thrombocytopenia

Ben Niu, Lan Li
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Abstract

Objective: To explore the effect of low-dose rituximab in primary immune thrombocytopenia. Methods: From January 2022 to January 2023, 60 patients with primary immune thrombocytopenia were randomly divided into two groups. The control group was treated with standard doses of rituximab, and the observation group was treated with low doses of rituximab. Rituximab was used for treatment, and the clinical curative effect of the two groups was observed. Results: Before treatment, there was no statistically significant difference in platelet count (PLT), anti-GPⅡb/Ⅲa antibody, and anti-GPⅠb/Ⅸ antibody between the two groups (P > 0.05). After treatment, the PLT of the two groups increased significantly. Antibodies were all decreased, and there was no significant difference between the two groups (P > 0.05). The incidence of adverse reactions in the observation group was 13.33%, and that in the control group was 40.00%. The adverse reactions in the observation group were significantly lower than the control group (P < 0.05). Conclusion: In the clinical treatment of primary immune thrombocytopenia, low-dose rituximab can control the progression of the disease, improve blood routine indicators, and have fewer adverse reactions.
小剂量利妥昔单抗治疗原发性免疫性血小板减少症的疗效
目的:探讨小剂量利妥昔单抗治疗原发性免疫性血小板减少症的疗效。方法:自2022年1月至2023年1月,将60例原发性免疫性血小板减少症患者随机分为两组。对照组用标准剂量的利妥昔单抗治疗,观察组用低剂量的利妥昔单抗治疗。采用利妥昔单抗治疗,观察两组患者的临床疗效。结果:治疗前两组血小板计数(PLT)、抗GPⅡb/Ⅲa抗体、抗GPⅠb/Ⅸ抗体差异无统计学意义(P>0.05),治疗后两组PLT明显升高。抗体均下降,两组间无显著差异(P>0.05)。观察组不良反应发生率为13.33%,对照组为40.00%。观察组的不良反应明显低于对照组(P<0.05)。结论:在原发性免疫性血小板减少症的临床治疗中,低剂量利妥昔单抗可以控制疾病的进展,改善血常规指标,减少不良反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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