首页|他克莫司胶囊联合醋酸泼尼松龙片治疗系统性红斑狼疮的临床研究

他克莫司胶囊联合醋酸泼尼松龙片治疗系统性红斑狼疮的临床研究

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目的:分析在患有系统性红斑狼疮患者的临床治疗当中,给予患者醋酸泼尼松龙片与他克莫司胶囊同时治疗的具体效果.方法:选择我院在2016年1月至2017年1月收治的以82名全身红斑狼疮病人为研究对象,按病人的用药方法分为两组,一组是常规组,一组是实验组,常规组醋酸泼尼松龙片治疗,而实验组患者需要接受他克莫司胶囊与醋酸泼尼松龙片治疗,计算各组总有效率,统计不良反应发生率,评估病情活动度;比较补体指标.结果:实验组总有效率97.6%高于常规组总有效率78.0%,P<0.05;实验组总发生率4.8%低于常规组总发生率26.8%,P<0.05.治疗前,实验组SLEDAI评分与常规组相差无异,P>0.05;治疗后,实验组SLEDAI评分低于常规组SLEDAI评分,P<0.05.治疗前,实验组C3、C4与常规组C3、C4相差无异,P>0.05;治疗后,实验组C3、C4高于常规组C3、C4,P<0.05.结论:针对系统性红斑狼疮的治疗而言,患者使用他克莫司胶囊与醋酸泼尼松龙片联合治疗可以有效恢复血清蛋白质水平,促进病情好转的同时,降低治疗风险.
Objective:To analyze the specific effects of administering prednisolone acetate tablets and tacrolimus capsules simultaneously in the clinical treatment of patients with systemic lupus erythematosus.Method:82 patients with systemic lupus erythematosus admitted to our hospital from January 2016 to January 2017 were selected as the research subjects.They were divided into two groups according to the patient's medication method.One group was the conventional group,and the other group was the experimental group.The conventional group received prednisolone acetate tablets for treatment,while the experimental group patients needed to receive tacrolimus capsules and prednisolone acetate tablets for treatment.The total effective rate of each group was calculated,the incidence of adverse reactions was calculated,and the degree of disease activity was evaluated;Compare complement indicators.Result:The total effective rate of 97.6%in the experimental group was higher than that of 78.0%in the conventional group,P<0.05;The total incidence rate of 4.8%in the experimental group was lower than that of 26.8%in the conventional group,P<0.05.Before treatment,there was no significant difference in SLEDAI scores between the experimental group and the conventional group(P>0.05);After treatment,the SLEDAI score of the experimental group was lower than that of the conventional group,P<0.05.Before treatment,there was no significant difference in C3 and C4 between the experimental group and the conventional group,P>0.05;After treatment,the C3 and C4 levels in the experimental group were higher than those in the conventional group,P<0.05.Conclusion:For the treatment of systemic lupus erythematosus,the combination of tacrolimus capsules and prednisolone acetate tablets can effectively restore serum protein levels,promote disease improvement,and reduce treatment risks.

Systemic lupus erythematosusTacrolimusAcetic acid prednisolone tabletsAdverse reactionscurative effect

钟彦波、姚艳、刘文春

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安福县人民医院 江西吉安 343200

系统性红斑狼疮 他克莫司 醋酸泼尼松龙片 不良反应 疗效

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(5)
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