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拉米夫定联合泼尼松治疗乙型肝炎病毒相关性肾炎的临床观察
引用本文:周勇强,程瑷,李佳.拉米夫定联合泼尼松治疗乙型肝炎病毒相关性肾炎的临床观察[J].解放军医学高等专科学校学报,2012(2):363-364.
作者姓名:周勇强  程瑷  李佳
作者单位:宁乡县人民医院感染科,湖南宁乡410600
摘    要:目的探讨拉米夫定联合泼尼松治疗乙型肝炎(以下简称乙肝)病毒相关性肾炎(HBV-GN)的临床疗效及安全性。方法 22例乙肝病毒相关性肾炎(HBV-GN)患者采用拉米夫定联合泼尼松治疗。结果 22例患者中总有效率为86%,治疗3、6个月,24 h尿蛋白定量明显低于治疗前(P〈0.05、P〈0.01)。结论拉米夫定联合泼尼松治疗HBV-GN既可抑制乙肝病毒复制,又可抑制肾脏免疫损伤,是治疗HBV-GN的安全有效方法。

关 键 词:拉米夫定  泼尼松  乙肝病毒相关性肾炎

Clinical observation on Lamivudine combined with Prednisolone in the treatment of hepatitis B virus associated glomerulonephritis
Zhou Yong-qiang,Cheng Ai,Li Jia.Clinical observation on Lamivudine combined with Prednisolone in the treatment of hepatitis B virus associated glomerulonephritis[J].Clinical Journal of Medical Officer,2012(2):363-364.
Authors:Zhou Yong-qiang  Cheng Ai  Li Jia
Institution:(Department of Infectious Diseases,Ningxiang People’s Hospital,Ningxiang Hunan 410600,China)
Abstract:Objective To investigate the efficacy and safety of combination treatment of Lamivudine and Prednisolone on hepatitis B virus associated glomerulonephritis(HBV-GN).Methods Twenty-two cases of hepatitis B virus associated glomerulonephritis hepatitis were put in a Lamivudine in combination with Prednisolone treated group.Results The total effective rate in 22 patients was 86%.The quantity of 24 hours proteinuria after 3 and 6 months treatment were significantly lower than that before treatment(P〈0.05,P〈0.01).Conclusion Combined treatment of Lamivudine and Prednisolone is effective and safe for hepatitis B virus associated glomerulonephritis,can inhibit the hepatitis B virus replication and kidney immune injury.
Keywords:Lamivudine  Prednisolone  hepatitis B virus associated glomerulonephritis
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