Evaluation of the Therapeutic Significance of Arsenite and Thalidomide in Patients with Myelodysplastic Syndrome

Y. Miao, Ying Gao
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Abstract

Objective: To analyze the therapeutic significance of arsenite and thalidomide in patients with myelodysplastic syndrome. Methods: From August 2021 to August 2022, 80 patients with myelodysplastic syndrome were selected and randomly divided into two groups. In the control group, the drug used was thalidomide tablets, whereas in the observation group, the drug used was arsenite and thalidomide. The treatment effect was observed and evaluated. Results: Before treatment, there was no statistical significance in the blood and serological indices between the two groups. After treatment, the observation group showed better blood and serological indices than the control group (P < 0.05). The clinical efficacy of the observation group was 77.5%, while that of the control group was 50.0%. The observation group had significantly better treatment effect (P < 0.05). The incidence of adverse effects in the observation group and the control group was 5.0% and 20.0%, respectively. The observation group had significantly fewer adverse effects (P < 0.05). Conclusion: In the treatment of patients with myelodysplastic syndrome, the use of arsenite on the basis of thalidomide can effectively improve the treatment effect and optimize the levels of various blood and serological indices, with fewer adverse effects and a relatively high safety profile.
评价亚砷酸盐和沙利度胺治疗骨髓增生异常综合征的意义
目的:分析亚砷酸盐与沙利度胺治疗骨髓增生异常综合征的意义。方法:选取2021年8月~ 2022年8月80例骨髓增生异常综合征患者,随机分为两组。对照组用药为沙利度胺片,观察组用药为亚砷酸盐加沙利度胺。观察并评价治疗效果。结果:治疗前,两组患者血液及血清学指标比较,差异均无统计学意义。治疗后,观察组患者血液及血清学指标均优于对照组(P < 0.05)。观察组临床有效率为77.5%,对照组为50.0%。观察组治疗效果显著优于对照组(P < 0.05)。观察组和对照组不良反应发生率分别为5.0%和20.0%。观察组患者不良反应明显减少(P < 0.05)。结论:在沙利度胺基础上应用亚砷酸盐治疗骨髓增生异常综合征患者,可有效提高治疗效果,优化各项血液及血清学指标水平,且不良反应少,安全性较高。
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