原发性局灶节段性肾小球硬化症的治疗
摘要
原发性局灶节段性肾小球硬化症(FSGS)是较常见的慢性肾小球疾病,占我国成人原发性肾小球疾病的9%,患者常以大量蛋白尿起病,常伴有镜下血尿、肾小管功能受损、高血压和肾功能不全,很容易发展成终末期肾衰竭。大量蛋白尿、低白蛋白血症、高脂血症和严重水肿使患者更易患感染、深静脉血栓形成等并发症,这些并发症不仅给治疗带来困难,也是加速肾功能恶化甚至直接导致死亡的主要原因。
出处
《临床肾脏病杂志》
2009年第8期383-384,共2页
Journal Of Clinical Nephrology
参考文献14
-
1Daskalakis N, Winn MP. Focal and segmental glomerulosclerosis: Varying biologic mechanisms underlie a final histopathologic end point. Semin Nephrol, 2006,26 : 89-94.
-
2刘志红.为进一步提高局灶节段性肾小球硬化的诊断水平而努力[J].临床肾脏病杂志,2009(6):244-245. 被引量:2
-
3Deegens JKJ, Steenbergen EJ, Wetzels JFM. Review on diagnosis and treatment of focal segmental g[omerulosclerosis. Neth J Med, 2008,66:3- 12.
-
4郑继光.局灶节段性肾小球硬化.见:谢佩法,陈严文,李正良,主编.实用肾脏病治疗学.吉林:吉林科学技术出版社,2005.129.
-
5Cattran DC,Wang MM, Appel G, et al. Mycophenolate mofetilin the treatment of focal segmental glomerulosclerosis. Clin Nephrol, 2004,62:405-411.
-
6Ito S, Maehida H, Inaba A, et al. Amelioration of steroids and cyclosporine resistant nephritic syndrome by pravastatin. Pediatr Nephrol, 2007,22 : 603 -606.
-
7Loeffler K,Gowrishankar M, Yiu V. Tacrolimus therapy in pediatric paients with treatment resistant nephrotic syndrome. Pediatr Nephrol,2004,19 : 281- 287.
-
8孙雪峰,陈香美.他克莫司在原发性肾病综合征治疗中的应用[J].中国实用内科杂志,2008,28(5):323-325. 被引量:37
-
9Tumlin JA, Miller D, Near M, et al. A prospective,open-label trial of sirolimus in the treatment of focal segmental glomeruloselerosis. Clin J Am Soc Nephrol,2006,1 : 109-116.
-
10Goumenos DS, Tsagalis G, El Nahas AM, et al. Immunosuppressive treatment of idiopathic focal segmental glomerulosclerosis: A five-year follow up study. Nephron Clin Praet, 2006,104: 75-82.
二级参考文献41
-
1Westhoff TH,van der Giet M. Tacrolimus in the treatment of idiopathic nephrotic syndrome[J]. Expert Opin Investig Drugs,2007, 16:1099 -1110.
-
2Loeffler K,Gowrishankar M, Yiu V. Tacrolimus therapy in pediatric patients with treatment-resistant nephrotie syndrome[ J ]. Pediatr Nephrol,2004 ,19 :281 - 287.
-
3Sinha MD, Macteod R, Rigby E ,et al. Treatment of severe steroid-dependent nephrotic syndrome(SDNS) in children with tacrolimus [ J]. Nephrol Dial Transplant,2006,21 : 1848 - 1854.
-
4Segarra A, Vila J, Pou L, et al. Combined therapy of tacrolimus and corticosteroids in cyclosporin-resistant or -dependent idiopathic focal glomerulosclerosis : a preliminary uncontrolled study with prospective follow-up [ J ]. Nephrol Dial Transplant, 2002,17 : 655 - 662.
-
5Miao L,Sun J, Yuan H, et al. Combined therapy of low-dose taerolimus and prednisone in nephrotie syndrome with slight mesangial proliferation [ J ]. Nephrology ,2006,11:449 - 454.
-
6Li X, Li H,Chen J,et al. Tacrolimus as a steroid-sparing agent for adults with steroid-dependent minimal change nephrotic syndrome [J]. Nephrol Dial Transplant, 2007 Oct 1, [ Epub ahead of print ].
-
7Praga M, Barrio V, Juarez GF, et al. Taerolimus monotherapy in membranous nephropathy: a randomized controlled trial [ J ]. Kidney Int ,2007,71:924 - 30.
-
8Duncan N, Dhaygudea A, Owen J, et al. Treatment of focal and segmental glomerulosclerosis in adults with tacrolimus monotherapy [J]. Nephrol Dial Transplant ,2004,19:3062 - 3067.
-
9Nagai R, Cattran DC, Pei Y. Steroid therapy and prognosis of focal segmental glomerulosclerosis in the elderly. Clin Nephrol, 1994,42:18-21.
-
10Mori K, Honda M, Ikeda M. Efficacy of methylprednisolone pulse therapy in steroid resistant nephrotic syndrome. Pediatr Nephrol, 2004,19:1232 1236.
共引文献40
-
1杨尚敏,李凌.ACEI临床应用进展[J].中原医刊,2007,34(24):54-56.
-
2刘睿,邓跃毅.原发性局灶节段性肾小球硬化症治疗概况[J].中国中西医结合肾病杂志,2009,10(11):1019-1021. 被引量:2
-
3邬明阳.浅谈目前原发性肾病综合征的中西医结合治疗[J].中国民族民间医药,2010,19(11):128-130. 被引量:3
-
4林荣华,陈丽植,凌逸虹,蒋小云,莫樱.他克莫司治疗儿童难治性肾病综合征的疗效观察[J].中国医师进修杂志,2010,33(25):56-58. 被引量:4
-
5刘景城,肖慧捷,杨霁云,姚勇,黄建萍,王素霞.儿童原发性局灶节段性肾小球硬化212例临床病理分析[J].中华儿科杂志,2010,48(12):928-933. 被引量:8
-
6邹德双.他克莫司治疗局灶节段硬化性肾小球肾炎1例[J].中国中医药咨讯,2011,3(4):287-287.
-
7李有跃,华伟,刘福文,郭峰.泼尼松、环磷酰胺、阿斯匹林治疗狼疮性肾炎的临床研究[J].四川医学,2011,32(4):573-575. 被引量:1
-
8宁娟.糖皮质激素联合环磷酰胺治疗狼疮肾炎的临床分析[J].中国医师进修杂志,2011,34(34):52-53. 被引量:3
-
9任红旗,钟逸斐,李艳,蔡青,韩淑静,郝小可,王瑞,李玲.小剂量他克莫司联合雷公藤多苷治疗激素抵抗性肾病综合征随机对照研究[J].第二军医大学学报,2011,32(12):1340-1345. 被引量:24
-
10招玉龙,王云霞,吴春.他克莫司治疗老年激素抵抗型肾病综合征的临床疗效[J].中国老年学杂志,2013,33(6):1266-1268. 被引量:28
-
1姜新猷,胡明昌,蔡毅,黄文彦.儿童原发性局灶节段性肾小球硬化症的治疗研究[J].南京医科大学学报(自然科学版),1994,14(3):293-296.
-
2潘玲,黄尤,廖蕴华.原发性局灶节段性肾小球硬化症152例临床病理特征分析[J].山东医药,2013,53(10):82-84. 被引量:10
-
3张肇,陈孝文,等.原发性局灶节段性肾小球硬化肾组织IL—13mRNA表达[J].深圳医学,2000,13(3):1-4.
-
4刘睿,邓跃毅.原发性局灶节段性肾小球硬化症治疗概况[J].中国中西医结合肾病杂志,2009,10(11):1019-1021. 被引量:2
-
5滕淑,王墨.原发性局灶节段性肾小球硬化预后相关因素的研究进展[J].中国药业,2009,18(11):4-6. 被引量:3
-
6孙蔚倩(综述),陈楠(审校),王伟铭(审校).原发性局灶节段性肾小球硬化症(FSGS)治疗进展[J].国际泌尿系统杂志,2008,28(1):87-90.
-
7仝德贵,张晓明.肾病综合征患者低白蛋白血症治疗的观察[J].山西医学教育,2002(3):24-26. 被引量:1
-
8王玉宝,马敏君.益气养阴活血法治疗肝硬化低白蛋白血症30例[J].天津中医,1996,13(6):14-15. 被引量:1
-
9杨淑娟.中医治疗肾病综合征的方法[J].世界最新医学信息文摘,2013,13(17):254-254.
-
10耿晓剑,兰志宏.黄芪对肾病综合征患者血浆蛋白及尿蛋白的影响[J].现代中西医结合杂志,2001,10(23):2264-2265. 被引量:3