首页|他克莫司联合环磷酰胺治疗系统性红斑狼疮患者的临床研究

他克莫司联合环磷酰胺治疗系统性红斑狼疮患者的临床研究

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目的 探讨环磷酰胺联合他克莫司治疗系统性红斑狼疮(SLE)患者的临床效果.方法 选取 2021 年 1 月至 2022 年9 月我院收治的 70 例SLE患者,随机分为两组各 35 例.对照组采用环磷酰胺治疗,研究组在对照组基础上采用他克莫司治疗,比较两组的临床疗效、炎性因子和免疫球蛋白水平.结果 研究组的治疗总有效率为 94.29%,明显高于对照组的 77.14%(P<0.05).治疗后,研究组的血清IL-6、TNF-α水平均明显低于对照组(P<0.05).治疗后,研究组的IgA、IgG、IgM水平均明显低于对照组(P<0.05).结论 他克莫司联合环磷酰胺治疗SLE患者的效果显著,可明显降低炎性因子水平,抑制机体免疫反应.
Clinical Study of Tacrolimus Combined with Cyclophosphamide in the Treatment of Patients with Systemic Lupus Erythe-matosus
Objective To explore the clinical effect of tacrolimus combined with cyclophosphamide in the treatment of patients with systemic lupus erythematosus(SLE).Methods 70 patients with SLE admitted to our hospital from January 2021 to September 2022 were selected and randomly divided into two groups,with 35 cases in each group.The control group was treated with cyclophosphamide,and the study group was treated with tacrolimus on the basis of the control group.The clinical efficacy,inflammatory factors and immunoglobulin levels were compared between the two groups.Results The total effective rate of treatment in the study group was 94.29%,significantly higher than 77.14%in the control group(P<0.05).After treatment,the levels of serum IL-6 and TNF-α in the study group were significantly lower than those in the control group(P<0.05).After treatment,the levels of IgA,IgG and IgM in the study group were significantly lower than those in the control group(P<0.05).Conclusions Tacrolimus combined with cyclophosphamide in the treatment of patients with SLE has significant effect,which can obviously reduce the levels of inflammatory factors and inhibit the immune response of the body.

Systemic lupus erythematosusTacrolimusCyclophosphamideEfficacyInflammatory factorImmunoglobulin

桂银莉、陈运转

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河南中医药大学第五临床医学院 (郑州人民医院) 风湿免疫科,河南郑州 450003

系统性红斑狼疮 他克莫司 环磷酰胺 疗效 炎性因子 免疫球蛋白

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(8)