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METHOD OF TREATING MULTIPLE SCLEROSIS AND OTHER SYSTEMIC AUTOIMMUNE DISEASES
METHOD OF TREATING MULTIPLE SCLEROSIS AND OTHER SYSTEMIC AUTOIMMUNE DISEASES
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机译:治疗多发性硬化症和其他系统性自动免疫病的方法
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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to neurology, and can be used for treating multiple sclerosis. For this purpose, hemopoietic stem cells are prepared at the first stage using granulocyte colony-stimulating factor in dose of 10 mcg/kg for 4-5 days and freezed. It is followed by high-dose immune suppressive therapy with the help of Cyclophosphan 200 mg/kg and Rituximab 500 mg/m2 / Carmustine 300 mg/m2, Cyclophosphan 120 mg/kg and Rituximab 500 mg/m2. That is followed by transplantation of hemopoietic stem cells, and for groups of patients with high risk of relapse supporting therapy with Mitoxantrone 12 mg/m2 or Rituximab 375 mg/m2 is additionally carried out quarterly during 1 year after THSC. Wherein, in parallel with high-dose immune suppressive therapy hydration and supporting therapy are performed by use of glucocorticosteroids, stimulation of hematopoiesis with colony-stimulating factors, nutritional and hemo-component therapy.;EFFECT: using this method is effective in treating patients with various forms of multiple sclerosis, thus allowing to achieve clinical improvement and stable prolonged remission.;1 cl, 3 dwg, 2 tbl
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机译:技术领域本发明涉及医学,即神经病学,可用于治疗多发性硬化症。为此,在第一阶段使用粒细胞集落刺激因子以10 mcg / kg的剂量制备造血干细胞4-5天,然后冷冻。继之以200毫克/千克的环磷酰胺和500 mg / m 2 Sup>的利妥昔单抗/ 300毫克/米 2 Sup>的卡莫司汀,环磷酰胺120进行大剂量的免疫抑制治疗mg / kg和利妥昔单抗500 mg / m 2 Sup>。随后进行造血干细胞移植,对于高复发风险的患者群,米托蒽醌12 mg / m 2 Sup>或利妥昔单抗375 mg / m 2 Sup>支持治疗在THSC之后的1年内,每季度进行一次。其中,与大剂量免疫抑制疗法同时使用糖皮质激素进行水合作用和支持疗法,用集落刺激因子刺激造血作用,营养和血液成分治疗。各种形式的多发性硬化症,从而可以实现临床改善并稳定延长病情。; 1 cl,3 dwg,2 tbl
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