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新月体狼疮肾炎的治疗效果
引用本文:赵瑞英,梦雅平,赵春梅.新月体狼疮肾炎的治疗效果[J].内蒙古医学院学报,2008,30(1):33-35.
作者姓名:赵瑞英  梦雅平  赵春梅
作者单位:内蒙古医学院附属医院,肾内科,内蒙古,呼和浩特,010050
摘    要:目的:探讨不同治疗方法对新月体狼疮肾炎(CLN)病人的疗效.方法:临床及病理检查确诊为CLN病人41例,根据不同的免疫抑制治疗方法分为三组:A组11例,甲基强的松龙(MP)冲击合并霉酚酸酯(MP MMF)治疗;B组20例,MP冲击合并间断环磷酰胺(MP CTX)静脉治疗;C组10例,MP冲击治疗;观察三组治疗方案的近、远期疗效.结果:近期疗效:病人血清肌酐(SCr)从治疗前(320±241)μmol/L降至(195±141)μmol/L,蛋白尿和贫血也均有不同程度的改善;远期疗效:比较A组和B组病人的远期疗效无明显差异,而优于C组.结论:MP CTX和MP MMF这两种方法诱导缓解CLN,近、远期疗效相似,均优于单独MP治疗组.

关 键 词:狼疮肾炎  新月体形成  免疫抑制治疗  预后
文章编号:1004-2113(2008)01-0033-03
修稿时间:2007年9月10日

A COMPARATIVE STUDY OF VARIOUS THERAPEUTIC EFFECT IN LUPUS NEPHRITIS PATIENTS WITH DIFFUSE CRESCENT FORMATION
ZHAO Rui-ying,MENG Ya-ping,ZHAO Chun-mei.A COMPARATIVE STUDY OF VARIOUS THERAPEUTIC EFFECT IN LUPUS NEPHRITIS PATIENTS WITH DIFFUSE CRESCENT FORMATION[J].Acta Academiae Medicinae Neimongol,2008,30(1):33-35.
Authors:ZHAO Rui-ying  MENG Ya-ping  ZHAO Chun-mei
Institution:ZHAO Rui-ying,MENG Ya-ping,ZHAO Chun-mei(Department of Nephrology,Affiliated Hospital,Inner Mongolia Medical College,Hohhot 010050 China)
Abstract:Objective:To discuss the clinical effect of various therapeutic methods in lupus nephritis patients with diffuse crescent formation.Methods:Forty-one severe lupus nephritis patients with diffuse crescent formation,diagnosed by clinical,laboratory and renal histological examinations,were enrolled in this study.According to the protocol of immunosuppressive therapy,three groups were divided:group A(n=11) treated with methylprednisolone(MP)plus mycophenolate mofetil(MMF),group B(n=20) with MP plus cyclophospha...
Keywords:lupus nephritis  diffuse crescent formation  immunosuppressive therapy  prognosis  
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