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缬沙坦联合活性维生素D治疗IgA肾病蛋白尿的安全性与疗效观察 被引量:5

Observation on the safety and efficacy of valsartan combined with active vitamin D for proteinuria in IgA nephropathy
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摘要 目的探讨缬沙坦联合活性维生素D治疗IgA肾病蛋白尿的疗效及不良反应。方法将某医院收治的128例lgA肾病蛋白尿患者作为研究对象,依照随机分配原则,分为治疗组和对照组,每组各64例,治疗组使用缬沙坦联合活性维生素D治疗,对照组单用活性维生素D,两组疗程均为两个月,观察记录治疗前后患者尿蛋白量及药物不良反应的情况。结果治疗组与对照组相比较,治疗组总有效率显著高于对照组(P<0.01),治疗组24h蛋白尿改善情况显著优于对照组(P<0.05),且两组患者均未出现严重不良反应。结论缬沙坦联合活性维生素D治疗lgA肾病疗效显著,能够显著降低患者尿蛋白,且临床安全性较好。 Objective To investigate the curative effects and adverse reactions of valsartan combined with active vitamin D for proteinuria in IgA nephropathy. Methods 128 cases of IgA nephrotie proteinuria treated in a hospital were selected and divided into treatment group and control group, 64 cases for each group. Treatment group received valsartan combined with active vitamin D, while control group received active vitamin D alone. Both groups were treated for 2 months and ob- served for the quantity of urine protein and adverse drug reactions before and after treatment. Results The total effective rate was significantly higher in treatment group than in control group ( P 〈 0.01 ), and the 24h urine protein quantity was also improved significantly in treatment group than in control group ( P 〈 0.05 ), and both groups had no serious adverse reactions. Conclusions Valsartan combined with active vitamin D is obviously effective for IgA nephropathy, and can significantly reduce the quantity of urine protein, moreover, it is of better clinical safety.
作者 吴琼皎
出处 《社区医学杂志》 2014年第18期9-10,共2页 Journal Of Community Medicine
关键词 IGA肾病 蛋白尿 缬沙坦 活性维生素D IgA nephropathy proteinuria valsartan active vitamin D
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参考文献13

  • 1王覃,陈德才.普通维生素D与骨质疏松[J].中国实用内科杂志,2011,31(7):514-516. 被引量:19
  • 2王振杰,寿先进.缬沙坦联合福辛普利治疗IgA肾病蛋白尿的疗效观察[J].中国医学创新,2010,7(2):19-20. 被引量:5
  • 3Barratt J,Feehally J. lea nephropathy[ J]. J Am Soe Nephrol ,2005, 16:2088 - 2097.
  • 4袁伟杰,吴灏.IgA肾病的治疗近况[J].临床内科杂志,2006,23(11):725-727. 被引量:8
  • 5Korbet SM. Treatment of primary focal segmental glomerulosclerosis [ J]. Kidney Int,2002,62(6) :2301 -2310.
  • 6孙世珺,菅宏蕴,黄淑芬,王明杰,杜晓阳,李广元.卡托普利对系膜增殖型肾炎家兔系膜基质的影响[J].西安交通大学学报(医学版),2004,25(5):490-492. 被引量:6
  • 7Rasehe FM, Keller F, Sailer LK, et al. MycophenoHc acid therapy after eyclophosphamide pulses in progressive IgA nephropathy[ J]. J Nephro1,2006.19(4) :465 -472.
  • 8ADORNI L, PRNA G, GIARRANA N, et al. 'Rtolcrogenic endritic cells induced by vitamin D cept or ligands enhance regu - latory T cells inhibiting allograft rejection and autoimmune diseases [ J ]. ell Biochem ,2003,88 (2) : 227 -233.
  • 9CIPPITELL1 M,FIONDA C,DI BONA D, et al: Negative regula- tion of CD95 ligand gene expression by vitamin D3 in T lympho - cytes[J]. J IMMUNOL,2002,168(3) :1154 -1166.
  • 10PENNA G, ADORINIL. I Alpha,25 - dihydroxyvitamin D3 in - hibits differentiation, maturation, activation, and survival of den - dritic cell leading to impaired alloreative T cell activation[ J ]. Jim- munol,2000,164(5) : 2405 -2411.

二级参考文献37

  • 1孙世珺,菅宏蕴,黄淑芬,王明杰,杜晓阳,李广元.卡托普利对系膜增殖型肾炎家兔系膜基质的影响[J].西安交通大学学报(医学版),2004,25(5):490-492. 被引量:6
  • 2余学清,李惠群,叶任高,谭志明,张新.慢性肾脏疾病患者尿中内皮素变化及其临床意义[J].中华肾脏病杂志,1995,11(2):91-93. 被引量:36
  • 3袁伟杰,吴灏.IgA肾病的治疗近况[J].临床内科杂志,2006,23(11):725-727. 被引量:8
  • 4Barratt J,Feehally J.IgA nephropathy.J Am Soc Nephrol,2005,16:2088-2097.
  • 5Faik RJ,Jennette JC,Nachm an PH.IgA Nephropathy//Brenner BM,Rector Jr FC.The Kidney.Vol II,6th ed.Philadelphia:Saunders WB,2001:1302-1309.
  • 6Korbet SM.Treatment of primary focal segmental glomerulosclerosis.Kidney Int,2002,62(6):2301-2310.
  • 7Rasche FM,Keller F,Sailer LK,et al.Mycophenolic acid therapy after cyclophosphamide pulses in progressive IgA nephropathy.J Nephrol,2006,19(4):465-472.
  • 8Seki N,Hashimoto N,Suzuki Y,et al.Differential effects of RAS inhibitors associated with ACE gene polymorphisms in type 2 diabetic nephropathy.Diabetes research and clinical practice,2006,72(2):135.
  • 9Holick MF,Chen TC. Vitamin D deficiency:a worldwide problem with health consequences[ J]. Am J Clin Nutr,2008,87:1080S - 1086S.
  • 10Holick MF. Vitamin D deficiency [ J ]. N Engl J Med, 2007,357 : 266 - 281.

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