首页|醋酸泼尼松联合来氟米特治疗IgA肾病的临床观察及护理措施

醋酸泼尼松联合来氟米特治疗IgA肾病的临床观察及护理措施

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目的 研究分析醋酸泼尼松联合来氟米特治疗IgA肾病的临床观察及护理措施.方法 选取2015年2月~2016年9月收治的100例IgA肾病患者为研究对象,随机分为对照组和实验组,每组患者各为50例.对照组患者给予醋酸泼尼松治疗,到12 w后降至0.5mg/kg.实验组患者在此基础上给予来氟米特治疗,3 d后降至20 mg.实验组与对照组患者治疗时间均为3个月.2组患者均进行合理的护理措施,比较分析实验组与对照组患者的治疗效果.结果 实验组患者的治疗有效率为94.0%显著高于对照组64.0%,差异具有统计学意义(P<0.05).治疗后,实验组患者的24 h蛋白尿水平为(0.541±0.322)g/L显著低于对照组(1.516±0.568)g/L,差异具有统计学意义(P<0.05).实验组不良反应发生率为0%,对照组不良反应发生率为8.0%显著高于实验组,差异具有统计学意义(P<0.05).结论 醋酸泼尼松联合来氟米特治疗IgA肾病的临床疗效较为理想,能够显著提高治疗有效率,具有临床推广意义.
Clinical observation and nursing intervention of prednisone acetate combined with leflunomide in the treatment of IgA nephropathy
Objective To study and analyze the clinical observation and nursing measures of prednisone acetate combined leflunomide in the treatment of IgA nephropathy.Methods 100 patients with IgA nephropathy treated in our hospital from February 2015 to September 2016 were randomly divided into the control group and the experimental group,with 50 patients in each group.Patients in the control group were treated with prednisone and dropped to 0.5 mg/kg after 12 weeks.The patients in the experimental group were treated with leflunomide and dropped to 20 mg after 3 days.The patients in the experimental group and the control group were treated for 3 months.The two groups of patients were given reasonable nursing measures, and compared the treatment effect.Results The effective rate of treatment in the experimental group was 94.0%, significantly higher than that in the control group (64.0%),with statistical difference(P<0.05).After treatment,the level of 24 hours proteinuria in the experimental group was (0.541±0.322)g/L, significantly lower than that of the control group (1.516±0.568)g/L,with statistical difference (P<0.05) .The adverse reaction rate of the experimental group was 0%, and that of the control group was 8%,with statistical difference(P<0.05).Conclusion Prednisone acetate combined leflunomide was effective in the treatment of IgA nephropathy, and can significantly improve the efficiency of treatment, and has clinical significance.

prednisone acetateleflunomideIgA nephropathyclinical effect

林婉清、张月华、王辉

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武警浙江总队嘉兴医院 外二科,浙江 嘉兴 314000

醋酸泼尼松 来氟米特 IgA肾病 临床效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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