期刊文献+

吗替麦考酚酯诱导治疗弥漫增生性狼疮性肾炎的效果评价 被引量:1

Effect evaluation of mycophenolate mofetil inductive treatment in diffuse proliferative lupus nephritis
下载PDF
导出
摘要 目的:分析吗替麦考酚酯(MMF)诱导治疗弥漫增生性狼疮性肾炎的效果。方法:随机选取50例弥漫增生性狼疮性肾炎(Ⅳ型LN)且伴新月体(≥15%)形成的患者,随机分成治疗组和对照组,每组各25例。治疗组采取激素联合MMF诱导治疗,对照组采取IV-CTX冲击治疗。回顾性比较两组治疗6个月的缓解率。结果:治疗组总缓解率明显高于对照组(P<0.05)。治疗组补体C3恢复正常率显著优于对照组(P<0.05)。结论:MMF诱导治疗弥漫增生性狼疮性肾炎的效果显著。 Objective:To analyze the effect of mycophenolate mofetil inductive treatment in diffuse proliferative lupus nephritis.Methods:50 patients with diffuse proliferative lupus nephritis(Ⅳ type LN) and crescent(≥15%) formation were randomly selected.They were randomly divided into the treatment group and the control group with 25 cases in each.The treatment group was given hormone combined with MMF inductive treatment.The control group was given IV-CTX impact treatment.The remission rates of two groups after 6 months treatment were retrospectively compared.Results:The total remission rate of the treatment group was significantly higher than that of the control group(P<0.05).The complement C3 recovery normal rate of the treatment group was significantly better than that of the control group(P<0.05).Conclusion:The effect of mycophenolate mofetil inductive treatment in diffuse proliferative lupus nephritis is significant.
作者 徐维
出处 《中国社区医师》 2015年第32期40-40,42,共2页 Chinese Community Doctors
关键词 狼疮性肾炎 新月体 吗替麦考酚酯 环磷酞胺 诱导治疗 Lupus nephritis Crescent Mycophenolate mofetil Cydophosphamide Inductive treatment
  • 相关文献

参考文献3

二级参考文献31

  • 1Austin HA, Balow JE. Treatment of lupus nephritis [ J ]. Semin Nephrol,2000 ,20 :265 - 276. 被引量:1
  • 2Chan TM, Li FK, Tang CS, et al. Efficacy of mycophenolate mofetil in patients with diffuse proliferative lupus nephritis. Hong Kong- Guangzhou Nephrology Study Group [J]. N Engl J Med, 2000, 343:1156 - 1162. 被引量:1
  • 3Ginzler EM, Dooley MA ,Aranow C, et al. Mycophenolate mofetil or intravenous cyclophosphamide for lupus nephritis [J]. N Engl J Med,2005,353:2219 - 2228. 被引量:1
  • 4Chan TM, Tse KC, Tang CS, et al. Long-term study of mycophenolate mofetil as continuous induction and maintenance treatment for diffuse proliferative lupus nephritis[J]. J Am Soc Nephrol,2005, 16 : 1076 - 1084. 被引量:1
  • 5Ong LM, Hooi LS, Lim TO, et al. Randomized controlled trial of pulse intravenous cyclophosphamide versus mycophenolate mofetil in the induction therapy of proliferative lupus nephritis[J]. Nephrology (Carlton) ,2005,10 ( 5 ) :504 - 510. 被引量:1
  • 6Sinclair A, Appel G, Dooley MA, et al. Mycophenolate mofetil as induction and maintenance therapy for lupus nephritis: rationale and protocol for the randomized, controlled Aspreva Lupus Management Study(ALMS) [J]. Lupus,2007,16:972 - 980. 被引量:1
  • 7Hu W, Liu Z,Chen H, et al. Myeophenolate mofetil vs eyelophosphamide therapy for patients with diffuse proliferative lupus nephritis[J]. Chin Med J(Engl) ,2002,115:705 - 709. 被引量:1
  • 8Contreras G, Pardo V, Leclercq B, et al. Sequential therapies for proliferative lupus nephritis[ J]. N Engl J Med,2004,350:971 - 980. 被引量:1
  • 9Zhu B,Chen N, Lin Y, et al. Mycophenolate mofetil in induction and maintenance therapy of severe lupus nephritis : a meta-analysis of randomized controlled trials [J]. Nephrol Dial Transplant, 2007,22 : 1933 - 1942. 被引量:1
  • 10Wang J,Hu W,Xie H,et al. Induction therapies for class Ⅳ lupus nephritis with non-inflammatory necrotizing vasculopathy : mycophenolate mofetil or intravenous cyclophosphamide[ J ]. Lupus, 2007,16:707 - 712. 被引量:1

共引文献13

同被引文献14

  • 1Xu S, Liu Z, Chen H, et al. Diffuse segmental and pure diffuse global proliferative glomerulonephritis:different patterns of class IV lupusn nephritis[J]. Clin Nephrol,2014,81 (6) :411-418. 被引量:1
  • 2Appel G B, Contreras G, Dooley M A, et al. Mycophenolate mofetil versus cyclophosphamide for induction treatment of lupus nephritis [J]. J Am Soc Nephrol,2009,20(5) :1103-1112. 被引量:1
  • 3Tarzi R M, Cook H T, Pusey C D. Crescentic glomerulonephritis : new aspects of pathogenesis[ J]. Semin Nephro1,2011,31 (4) :361-368. 被引量:1
  • 4Mak A, Cheak A A, Tan J Y, et al. Mycophenolate mofetil is as effica- cious as, but safer than, cyclophosphamide in the treatment of prolif- erative lupus nephritis : a meta - analysis and meta - regression [ J ]. Rheumatology(Oxford) ,2009,48 (8) :944-952. 被引量:1
  • 5Chen S,Tang Z,Zhang Y, et al. Significance of histological crescent formation in patients with diffuse proliferative lupus nephritis [ J ]. Am J Nephrol,2013,38(6) :445-452. 被引量:1
  • 6Oudah N, A1 Duhailib Z, Alsaad K, et al. Glomerulonephritis with crescents among adult saudi patients outcome and its predictors [ J ]. Cline Exp Med ,2012,12 ( 2 ) : 121-125. 被引量:1
  • 7胡伟新.吗替麦考酚酯治疗狼疮性肾炎及血管炎展望[J].肾脏病与透析肾移植杂志,2012,7(3):264. 被引量:1
  • 8张延.霉酚酸酯与环磷酰胺治疗Ⅳ型狼疮性肾炎的疗效比较[J].现代预防医学,2011,38(18):3842-3844. 被引量:8
  • 9陈楠,任红,张文,俞海瑾,徐耀文,郝翠兰,傅秀兰.新型免疫抑制剂霉酚酸酯治疗狼疮性肾炎[J].上海医学,2001,24(2):81-84. 被引量:25
  • 10陈喜苹,王运贤.吗替麦考酚酯与环磷酰胺联合激素治疗Ⅴ型狼疮性肾炎临床疗效观察[J].中国伤残医学,2014,22(16):24-26. 被引量:4

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部