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对狼疮性肾炎治疗药物的临床合理应用新认识
引用本文:严尚学,邓晓媚,徐星铭,魏伟.对狼疮性肾炎治疗药物的临床合理应用新认识[J].中国临床药理学与治疗学,2013,18(5):570-575.
作者姓名:严尚学  邓晓媚  徐星铭  魏伟
作者单位:1. 安徽医科大学临床药理研究所,抗炎免疫药物教育部重点实验室,合肥230032,安徽
2. 安徽医科大学第一附属医院肾内科,合肥230022,安徽
基金项目:国家自然科学基金资助项目(No 30973543、81173075); 安徽高校省级自然科学研究重点项目(KJ2011A177)
摘    要:肾脏是系统性红斑狼疮最常受累的器官之一,狼疮性肾炎(Lupus nephritis,LN)是患者死亡的主要原因.根据不同病理分型,LN的治疗一般分为诱导期治疗和缓解期治疗两个阶段.免疫抑制剂与激素联合用药是目前临床治疗的主要用药方案.随着现代医药技术的发展和对LN发病机制的深入探索,LN的治疗取得了长足性进展,患者生存率明显提高,现就LN治疗药物的临床合理应用新进展予以综述.

关 键 词:狼疮性肾炎  治疗药物  合理应用

New insights of the reasonable application of clinical drugs on the treatment for lupus nephritis
YAN Shang-xue,DENG Xiao-mei,XU Xing-ming,WEI Wei.New insights of the reasonable application of clinical drugs on the treatment for lupus nephritis[J].Chinese Journal of Clinical Pharmacology and Therapeutics,2013,18(5):570-575.
Authors:YAN Shang-xue  DENG Xiao-mei  XU Xing-ming  WEI Wei
Institution:( Institute of Clinical Pharmacology,Anhui Medical University,Key Laboratory of Immune Medicine(Anhui Medical University),Ministry of Education,Ministry of Education,Hefei 230032,Anhui,China;2 Department of Nephrology,the First Affilicated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)
Abstract:Kidney damage remains one of the most devastating complications of systematic lupus erythematosus(SLE).Lupus nephritis(LN) is the major cause of morbidity and mortality in patients with SLE.The treatment protocol for LN is emphasized to use induction and maintenance therapies sequentially according to the pathological types.The combination of immunosuppressant and glucocorticoid therapy is the major project on clinical treatment for LN patients.With the development of modern medical technology and the deep explore of the pathogenic of LN,the treatment strategy of LN has been improved significantly and the survival of the patients has obviously increased.Herein the new insights about the treatment for LN are reviewed.
Keywords:Lupus nephritis  Clinical drugs  Reasonable application
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