首页|探讨贝利尤单抗治疗系统性红斑狼疮(SLE)的效果和安全性

探讨贝利尤单抗治疗系统性红斑狼疮(SLE)的效果和安全性

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目的 探究系统性红斑狼疮应用贝利尤单抗的治疗效果以及安全性.方法 随机选取2021年3月—2023年8月临沂市中心医院收治的60例系统性红斑狼疮患者为研究对象,采用抽签随机分为单一组与联合组,各30例.单一组采取标准治疗方式,联合组在单一组的基础上采取贝利尤单抗进行治疗.比较两组患者的治疗效果、免疫指标、激素剂量、疾病活动度指数评分以及不良反应发生情况.结果 联合组治疗有效率为83.33%,高于单一组的36.67%(χ2=5.164,P<0.05).治疗后,联合组补体C3、补体C4水平高于单一组,IgG水平、激素剂量、疾病活动度指数评分低于单一组,差异有统计学意义(P均<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 通过采取贝利尤单抗进行治疗,能够有效地提高患者的治疗效果,改善其免疫指标,减少患者的激素剂量,降低疾病活动度指数,且这种联合治疗方式不会增加患者的不良反应发生风险,其安全性较高.
Exploring the Efficacy and Safety of Belimumab in the Treatment of Sys-temic Lupus Erythematosus(SLE)
Objective To investigate the therapeutic effect and safety of systemic lupus erythematosus(SLE)with the application of belimumab.Methods 60 patients with systemic lupus erythematosus admitted to Linyi Central Hospital from March 2021 to August 2023 were randomly selected as the study objects and randomly divided into single group and combined group by drawing lot,with 30 cases in each group.The single group received standard treatment,and the combined group received beliuzumab on the basis of the single group.The therapeutic effect,immune indexes,hor-mone dose,disease activity index score and adverse reactions were compared between the two groups.Results The ef-fective rate of combination group was 83.33%,which was higher than that of single group(36.67%),and the difference was statistically significant(χ2=5.164,P<0.05).After treatment,the level of complement C3 and complement C4 in combination group was higher than that in single group,and IgG level,hormone dose and disease activity index score were lower than that in single group,and the difference was statistically significant(all P<0.05).There was no statisti-cally significant difference in the incidence rate of adverse reactions between the two groups(P>0.05).Conclusion Be-liuzumab treatment can effectively improve the therapeutic effect of patients,improve their immune indicators,reduce the hormone dose of patients,and reduce the disease activity index,and this combination therapy does not increase the risk of adverse reactions in patients,and its safety is high.

Systemic lupus erythematosusBelimumabHormone doseImmune indexDisease activity index

王军霞、孔祥慧、胡海建

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临沂市中心医院风湿免疫科,山东临沂 276400

系统性红斑狼疮 贝利尤 激素剂量 免疫指标 疾病活动度指数

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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