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霉酚酸酯治疗儿童IV型狼疮性肾炎疗效观察 被引量:6

Clinical observation of mycophenolate mofetil therapy in childhood lupus nephritis
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摘要 目的观察霉酚酸酯对儿童IV型狼疮性肾炎的临床疗效。方法16例儿童狼疮性肾炎,临床类型均为肾病综合征,经肾活检诊断为IV型狼疮性肾炎。其中11例初始即采用霉酚酸酯联合激素治疗,另5例为环磷酰胺冲击疗法加泼尼松治疗6个月未能明显改善者,改为霉酚酸酯联合激素治疗。霉酚酸酯剂量为每日600mg/m2(最大1~1.5g)加用泼尼松龙口服每日1~2mg/kg,疗程>6个月(6.5~18月)。结果随访6个月时16例中缓解10例,部分缓解6例;随访12个月时缓解达13例,部分缓解3例;未发生明显副反应。结论霉酚酸酯联合肾上腺皮质激素治疗儿童IV型狼疮性肾炎,有较好疗效。
出处 《临床儿科杂志》 CAS CSCD 北大核心 2004年第8期554-555,共2页 Journal of Clinical Pediatrics
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