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白三烯调节剂及大剂量静脉用丙种球蛋白治疗儿童肾病综合征并喘息性疾病的疗效
引用本文:黄柳一,赖静妮,岳智慧,蒋小云,莫樱.白三烯调节剂及大剂量静脉用丙种球蛋白治疗儿童肾病综合征并喘息性疾病的疗效[J].实用儿科临床杂志,2010(5).
作者姓名:黄柳一  赖静妮  岳智慧  蒋小云  莫樱
作者单位:中山大学附属第一医院儿科;广东省人民医院儿科;
摘    要:目的探讨白三烯调节剂(LTRA)及大剂量IVIG治疗肾病综合征(NS)并喘息性疾病患儿的疗效。方法收集1998年1月-2007年9月在本院儿科住院的142例NS并喘息性疾病患儿的临床资料,分析其治疗方法及转归等情况。按治疗方法不同分为4组,A组:长效β2受体激动剂(LABA)+吸入型糖皮质激素(ICS)+短效β2受体激动剂(SABA);B组:LABA+ICS+SABA+LTRA;C组:LABA+ICS+SABA+大剂量IVIG;D组:LABA+ICS+SABA+LTRA+大剂量IVIG。以A组为对照组进行比较。应用SPSS13.0软件对各组疗效进行分析。结果A组咳嗽缓解时间为8.0(5.0~11.0)d,喘息缓解时间为6.0(3.0~8.0)d;B组咳嗽缓解时间为4.5(1.0~10.0)d,喘息缓解时间为2.5(1.0~4.0)d,二组比较B组症状缓解时间明显缩短,差异有统计学意义(P=0.005,0.003);C组咳嗽缓解时间为4.0(2.0~7.0)d,喘息缓解时间为2.0(1.0~8.0)d,与A组比较症状缓解时间明显缩短,差异有统计学意义(P=0.001,0.000);D组咳嗽缓解时间为4.0(1....

关 键 词:肾病综合征  喘息性疾病  白三烯调节剂  大剂量静脉用丙种球蛋白  儿童  

Curative Effect of Leukotriene Receptor Antagonist and High Dose Intravenous Immunoglobulin on Nephrotic Syndrome Combined with Wheezing Diseases in Children
HUANG Liu-yi,LAI Jing-ni,YUE Zhi-hui,JIANG Xiao-yun,MO Ying.Curative Effect of Leukotriene Receptor Antagonist and High Dose Intravenous Immunoglobulin on Nephrotic Syndrome Combined with Wheezing Diseases in Children[J].Journal of Applied Clinical Pediatrics,2010(5).
Authors:HUANG Liu-yi  LAI Jing-ni  YUE Zhi-hui  JIANG Xiao-yun  MO Ying
Institution:HUANG Liu-yi1,LAI Jing-ni2,YUE Zhi-hui1,JIANG Xiao-yun1,MO Ying1(1.Department of Pediatrics,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,Guangdong Province,China,2.Department of Pediatrics,Guangdong General Hospital,China)
Abstract:Objective To explore the curative effect of leukotriene receptor antagonist(LTRA) and high dose intravenous immunoglobulin(IVIG) on nephrotic syndrome(NS) combined with wheezing diseases in children.Methods One hundred and forty-two children with NS combined with wheezing diseases were enrolled from Jan.1998 to Sep.2007.Restrospective analysis was used in this study.The index included:different therapies and relapse.According to different treatments,the children were divided into 4 groups.Group A:long-actin...
Keywords:nephrotic syndrome  wheezing disease  leukotriene receptor antagonist  high dose intravenous immunoglobulin  child  
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