环磷酰胺, 泼尼松, 婴幼儿, 肾综合征, 难治性," /> 环磷酰胺, 泼尼松, 婴幼儿, 肾综合征, 难治性,"/> Cyclophosphamide , Prednisone , Infant ,  ,Nephrotic syndrome,"/> <span style="line-height:2;font-size:14px;">环磷酰胺联合泼尼松治疗婴幼儿</span><span style="line-height:2;font-size:14px;">肾病综合征的疗效评价</span>
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发育医学电子杂志  2015, Vol. 3 Issue (3): 156-159    
  临床遗传   论著 |
环磷酰胺联合泼尼松治疗婴幼儿肾病综合征的疗效评价
余治奇 蒋罗 于生友 于力
余治奇 蒋罗 于生友 于力(广州医科大学附属广州市第一人民医院 儿科,广州 510180)
The evaluation of cyclophosphamide combined with prednisone in infant nephrotic syndrome
YU Zhi-qi,JIANG Luo,YU Sheng-you,YU Li
YU Zhi-qi,JIANG Luo,YU Sheng-you,YU Li(Department of Pediatrics, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, China)
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摘要 目的  探讨环磷酰胺联合泼尼松治疗婴幼儿肾病综合征(nephrotic syndrome ,NS)的临床疗效。方法 对2010 年1 月至2014 年12 月在本科收治住院的NS 患儿61 例进行回顾性分析,选取环磷酰胺联合泼尼松治疗的患儿29 例作为治疗组,仅应用泼尼松治疗的患儿32 例作为对照组。随访观察6 个月,统计并分析治疗前和治疗6 个月时两组患儿24 小时尿蛋白定量等各项生化指标变化,并记录不良反应。结果  治疗6 个月时,治疗组24 小时尿蛋白定量等各项生化指标较对照组降低,差异有显著性(P<0.05)。治疗组完全缓解18 例,部分缓解4 例,有效率76%,对照组完全缓解9 例,部分缓解6 例,有效率47%,两组有效率差异有显著性(P<0.05)。治疗组感染性疾病发生率明显少于对照组,但胃肠道反应发生率高于对照组,差异有显著性(P<0.05)。结论 环磷酰胺联合泼尼松治疗婴幼儿NS 比单用泼尼松缓解率高,感染性疾病的发生率低,值得临床推广及应用。
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关键词:  font-size:14px  环磷酰胺')" href="#">">环磷酰胺  泼尼松  婴幼儿  肾综合征  难治性    
Abstract: Objective To investigate the clinical efficacy of cyclophosphamide combined with prednisone on treating nephrotic syndrome(NS) in infant. Method From January 2010 to December 2014 in our hospital, 61 children with nephrotic syndrome were analyzed retrospectively. The treatment group (29 cases) received the treatment of cyclophosphamide and prednisone, while the control group (32 cases) only received the treatment of prednisone. The biochemical indicators were counted and analysised before treatment and 6 months, including the 24h urinary protein excretion and others. Also, we need to observe adverse reactions. Results  Compared with the control group, the treatment group has the lower 24h urinary protein and other biochemical indicators after 6 months. There was significant difference between the two groups(P<0.05). In the treatment group, complete remission was achieved in 18 cases,partial remission in 4cases.The effective
rate was 76%. While, the control group induced 9 cases complete remission, partial remission in 6 cases. The effective rate was 47%. There was significant difference in the effective rate between the two groups(P<0.05). The occurrence rate of infectious diseases in the treatment group was obviously lower than the control group, but the incidence rate of gastrointestina reactions was higher. There was significant difference between them (P<0.05). Conclusions Cyclophosphamide and prednisone combination therapy has a higher remission rate and lower infectious rate than only the treatment of prednisone. So, it is worth to be popularized and applied in clinical treatment
Key words:  font-size:14px    Cyclophosphamide ')" href="#">">Cyclophosphamide    Prednisone    Infant         Nephrotic syndrome
收稿日期:  2015-02-11                出版日期:  2015-09-30      发布日期:  2018-05-14      期的出版日期:  2015-09-30
通讯作者:  于力https://baike.baidu.com/item/%E4%BA%8E%E5%8A%9B/1842048?fr=aladdin    E-mail:  yuli828@yeah.net
引用本文:    
余治奇 蒋罗 于生友 于力. 环磷酰胺联合泼尼松治疗婴幼儿肾病综合征的疗效评价[J]. 发育医学电子杂志, 2015, 3(3): 156-159.
YU Zhi-qi, JIANG Luo, YU Sheng-you, YU Li. The evaluation of cyclophosphamide combined with prednisone in infant nephrotic syndrome. Journal of Developmental Medicine(Electronic Version), 2015, 3(3): 156-159.
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