探讨不同治疗方案在难治性肾病综合征治疗中的效果  

作　　者：陈江林[1] 

机构地区：[1]赣州市人民医院,江西341000

出　　处：《当代医学》2015年第1期33-34,共2页Contemporary Medicine

摘　　要：目的对难治性肾病综合征采用不同治疗方案进行治疗,比较其临床疗效。方法将44例难治性肾病综合征患者随机均分成实验组和对照组(n=22)。对照组患者给予盐酸氮芥进行治疗,实验组患者给予环磷酰胺进行治疗。比较2组患者的临床疗效及血清IL-2、IL-6及TNF-a水平。结果经过治疗后,实验组患者的总有效率(90.91%)显著高于对照组患者的总有效率(63.64%),差异有统计学意义(P<0.05);2组患者的血清IL-2、IL-6及TNF-a水平均有显著差异(P<0.05)。结论对难治性肾病综合征的患者采用环磷酰胺治疗的临床效果较好,安全可靠,在临床上值得广泛运用。Objective To analyze clinical efifcacy of different treatments in curing refractory nephrotic syndrome.Methods From Jan 2013 to Jan 2014, 44 patients with refractory nephrotic syndrome who received treatment in Ganzhou City People＇s Hospital were divided into experimental group and control group equally（n=22）. Control group patients were treated with chlormethine hydrochloride while experimental group were treated with cyclophosphamide. Compare their clinical effect and serum IL-2, IL-6 and TNF-a levels after treatment.Results After treatment, the total effective rate in experimental group （90.91%） was higher than the control group （63.64%）, and the difference was statistically signiifcant （P〈0.05）;And the serum IL-2,IL-6 and TNF-a levels of two groups were signiifcantly different, and the the difference was statistically signiifcant（P〈0.05）. Conclusion Cyclophosphamide has better curative effect in treating refractory nephrotic syndrome with safety and reliability, so it is worthy of wide clinical use.

关 键 词：不同治疗方案 难治性肾病综合征 效果 

分 类 号：R692.3[医药卫生—泌尿科学]