中国伤残医学2024,Vol.32Issue(18) :79-81,89.DOI:10.13214/j.cnki.cjotadm.2024.018.020

泰它西普与贝利尤单抗治疗狼疮肾炎患者的效果及安全性对比分析

Comparative Analysis of Efficacy and Safety of Taitacept and Beliuzumab in the Treatment of Patients with Lupus Nephritis

魏媛媛 董少军
中国伤残医学2024,Vol.32Issue(18) :79-81,89.DOI:10.13214/j.cnki.cjotadm.2024.018.020

泰它西普与贝利尤单抗治疗狼疮肾炎患者的效果及安全性对比分析

Comparative Analysis of Efficacy and Safety of Taitacept and Beliuzumab in the Treatment of Patients with Lupus Nephritis

魏媛媛 1董少军1
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作者信息

  • 1. 山东省寿光市人民医院肾内科,山东 潍坊 262799
  • 折叠

摘要

目的:对比分析泰它西普与贝利尤单抗在狼疮肾炎(LN)患者治疗中的应用效果及安全性.方法:选取 2022年 4月—2024 年 6月寿光市人民医院收治的 120例LN患者为研究对象,使用随机数字表法将其分为甲组与乙组,每组 60例.两组均以采用临床标准治疗方案为基础,甲组联合泰它西普治疗,乙组联合贝利尤单抗治疗.比较两组的免疫功能、肾功能及并发症发生情况.结果:治疗后,两组免疫球蛋白(Ig)A、IgG、IgM水平均低于治疗前,且甲组均低于乙组,补体C3、C4水平均高于治疗前,且甲组均高于乙组,差异均有统计学意义(P<0.05).治疗后,两组24 h尿蛋白定量、血肌酐、血尿素氮水平均低于治疗前,且甲组均低于乙组,差异均有统计学意义(P<0.05).甲组并发症发生率为21.67%,高于乙组的 6.67%,差异有统计学意义(P<0.05).结论:泰它西普在降低免疫球蛋白水平、提高补体水平及改善肾功能方面表现更为优异,但安全性问题仍需进一步关注.

Abstract

Objective:To compare the efficacy and safety of Taitacept and Beliuzumab in the treatment of patients with lupus nephritis(LN).Methods:A total of 120 patients with LN admitted to Shouguang People's Hospital from April 2022 to June 2024 were selected as the research objects,and divided into a group A and a group B by random number table method,with 60 cases in each group.Both groups were treated on the basis of the clinical standard treatment regimen,group A was treated with Taitacept and group B was treated with Beliuzumab.The immune function,renal function and complications were compared between the two groups.Results:After treatment,the levels of immunoglobulin(Ig)A,IgG and IgM in both groups were lower than before treatment,the levels of complement C3 and C4 in group A were higher than before treatment,and the levels of complement C4 in group A were higher than that in group B,with statistical significance(P<0.05).After treatment,24 h urinary protein quantity,serum creatinine and blood urea nitrogen levels in two groups were lower than before treatment,group A was lower than group B,with statistical significance(P<0.05).The incidence of complications in group A was 21.67%,which was higher than 6.67%in group B,the difference was statistically significant(P<0.05).Conclusion:Titacept has better performance in reducing immunoglobulin level,increasing complement level and improving renal function,but the safety issue still needs further attention.

关键词

狼疮肾炎/泰它西普/贝利尤单抗/治疗效果/安全性

Key words

Lupus nephritis/Taitacept/Beliumab/Therapeutic effect/Security

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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