淋巴瘤患者行干细胞移植联合CD30嵌合抗原受体T细胞输注治疗的护理
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女,本科,副主任护师

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Nursing care of autologous stem cell transplantation combined with anti CD30 chi-meric antigen receptor T cell infusion for treatment of lymphoma patients
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    目的 总结6例复发/难治性CD30阳性淋巴瘤患者进行自体干细胞移植联合抗CD30嵌合抗原受体T细胞输注治疗的护理经验。方法 对6例复发/难治性CD30阳性淋巴瘤患者,完善治疗前的护理评估,重点落实预处理毒性、细胞因子释放综合征以及植入综合征的护理,并将心理支持及健康教育纳入整个治疗过程。结果 6例患者均成功植入造血干细胞,外周血中检测到持续性CAR30转基因,其中5例完全缓解,1例部分缓解。5例出现细胞因子释放综合征,均为Ⅰ级,未观察到神经毒性。随访20.4(12.1,34.4)个月,患者均存活并保持其反应性。结论 自体干细胞移植联合抗CD30嵌合抗原受体T细胞输注治疗具有良好的耐受性和高度活性,护理在治疗各阶段以及毒副反应管理中发挥重要作用。

    Abstract:

    Objective To summarize the nursing experience of 6 patients with recurrent/refractory CD30 positive lymphoma under-going autologous stem cell transplantation combined with anti CD30 chimeric antigen receptor T cell infusion.Methods Six patients with recurrent/refractory CD30 positive lymphoma were evaluated for nursing care before treatment, focusing on the care of pretreatment toxicity, cytokine release syndrome, and implantation syndrome.Psychological support and health education were inclu-ded in the entire treatment process.Results Hematopoietic stem cells were successfully implanted in all 6 patients.Persistent CAR30 gene transfer was detected in peripheral blood. Five cases had complete remission and 1 case had partial remission.Five patients developed cytokine release syndrome, all of which were grade I, and no neurotoxicity was observed.At a median follow-up of 20.4 (12.1,34.4) months, all patients survived and maintained their responsiveness.Conclusion Autologous stem cell transplantation combined with anti CD30 chimeric antigen receptor T cell infusion therapy has good tolerance and high activity.Nursing plays an important role in various stages of treatment and in the management of toxic and side effects.

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徐丽,万滢,阮海涛,雷路,陈琳.淋巴瘤患者行干细胞移植联合CD30嵌合抗原受体T细胞输注治疗的护理[J].护理学杂志,2024,39(5):28-30

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  • 收稿日期:2023-10-12
  • 最后修改日期:2023-12-25
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  • 在线发布日期: 2024-07-10