儿童过敏性紫癜性肾炎的治疗进展

Progress in the Treatment of Henoch-Schnlein Purpura Nephritis in Children

过敏性紫癜性肾炎是儿童时期最常见的继发性肾脏疾病,目前西医治疗以糖皮质激素、免疫抑制剂、血管紧张素转化酶抑制剂和血管紧张素Ⅱ受体拮抗剂等为主,血浆置换、光量子血疗法等较新的治疗方法也有一定临床疗效。中医治疗以辩证分型为基础,予以清热凉血、活血化瘀等治疗,有良好的临床效果。中西医结合治疗更显示出明显的临床优势。

Henoeh-Schnlein purpura nephritis is the most common secondary kidney disease duringchildhood. Glueocortieoid, immunosuppressant, angiotensin-eonverting enzyme inhibitors and angiotensin IIreceptor antagonist,ere, are the major treatments of western medicine now,while some new treatment methods,such as plasma exchange and light quantum blood therapy also show a certain clinical curative effect. On thebasis of dialectical classification, traditional Chinese medicine show its good clinical effect by clearing heat tocool the blood, activate blood and resolve stasis. Treatments with the combination of traditional Chinese medi-cine and western medicine show more obvious clinical advantages.