轻度蛋白尿IgA肾病的临床研究进展
摘要
IgA肾病是以IgA或IgA为主的免疫球蛋白沉积在肾小球系膜区及毛细血管袢为特征的原发性肾小球疾病,其临床表现和病理变现呈多样性。蛋白尿水平作为一重要临床指标被认为与IgA肾病长期预后息息相关。较多蛋白尿往往提示肾脏病理损伤严重,需要积极干预,且多数预后不良。而对于轻度蛋白尿的IgA肾病患者的评估目前尚无明确的定论。本文就表现为轻度蛋白尿(〈1.0 g/d)的IgA肾病患者从临床病理、
出处
《中国中西医结合肾病杂志》
2016年第4期368-370,共3页
Chinese Journal of Integrated Traditional and Western Nephrology
参考文献20
-
1Zhou FD, Zhao MH, Zou WZ, et al. The changing spectrum of primary glomerular diseases within 15 years:a survey of 3331 pa- tients in a single Chinese centre. Nephrol Dial Trans - plant, 2009,24 ( 3 ) : 870 - 876.
-
2Li LS, Liu ZH. Epidemiologic data of renal diseases from a single unit in China: analysis based on 13,519 renal biopsies. Kidney Int,2004,66 ( 3 ) :920 - 923.
-
3Le W, Liang S, Hu Y, et al. Long - term renal survival and relat- ed risk factors in patients with IgA nephropathy:resuhs from a cohort of l155cases in a Chinese adult population. Nephrol Dial Transplant ,2012,27 (4) : 1479 - 1485.
-
4彭用华.牛津分型病理指标的预测价值及IgA肾病危险因素分级研究.北京:北京协和医学院,2012.
-
5Moriyama T, Tanaka K, Iwasaki C, et al. Prognosis in IgA Ne- phropathy :30 -Year Analysis of 1,012 Patients at a Single Cen- ter in Japan. PLoS One,2014,9(3) :e91756.
-
6Coppo R, Troyanov S, Bellur S, et al. Validation of the Oxford classification of IgA nephropathy in cohorts with different presen- tations and treatments. Kidney Int,2014,86(4) :828 -836.
-
7吕继成,张宏,刘刚,江建青,王海燕.IgA肾病呈单纯血尿和(或)轻度蛋白尿临床病理分析[J].中华肾脏病杂志,2004,20(6):418-420. 被引量:46
-
8谭敏,邹古明,芦建华,李文歌.少量蛋白尿IgA肾病患者的临床、病理特点分析[J].中日友好医院学报,2012,26(2):67-69. 被引量:5
-
9萨如拉.表现为少量蛋白尿和(或)血尿IgA肾病患者的临床一病理与转归研究.上海:复旦大学,2012.
-
10Lee H, Hwang JH, Paik JH, et al. Long - term prognosis of clini- cally early IgA nephropathy is not always favorable. BMC Neph- rol,2014,15 ( 1 ) :94.
二级参考文献31
-
1张馨,黎磊石,孙骅,鲍浩,陈惠萍,曾彩虹,郑春霞,刘志红.不同类型IgA肾病的流行病学及临床特点分析[J].肾脏病与透析肾移植杂志,2006,15(4):305-310. 被引量:63
-
2Li Ls,Liu ZH.Epidemiologic data of renal diseases from asingle unit in china:analysis based on 13519 renal biopsies[J].Kidney Int,2004,66(3):920-923.
-
3Goto M,Wakai K,Kawamura T,et al.A scoring system topredict renal outcome in IgA nephropathy:a nationwide 10year prospective cohort study[J].Nephrol Dial Transplant,2009,24:3068-3074.
-
4Lee SM,Rao VM,Franklin WA,et al.IgA nephropathy:morphologic predictors of progressive renal disease[J].HumPathol,1982,13:314-322.
-
5Katafuchi R,Kiyoshi Y,Oh Y,et al.Glomerular score as aprognosticator in IgA nephropathy:its usefulness andlimitation[J].Clin Nephrol,1998,49:1-8.
-
6Donadio Jv,Grande JP.IgA nephropathy[J].N Engl J Med,2002,347:738-748.
-
7Szeto CC,Lai FM,To KF,et al.The natural history ofimmunoglobulin A nephropathy among patients withhcmaturia and minimal proteinuria[J].Am J Med,2001,110:434-437.
-
8Sturm G,Kollerits B,Neyer U,et al.Uric acid as a riskfactor for progression of non-diabetic chronic kidneydisease?The Mild to Moderate Kidney Disease(MMKD)Study[J].Exp Gerontol,2008,43:347-352.
-
9Feis DI.Uric acid:a novel mediator and marker of risk inchronic kidney disease?[J].Curr Opin Nephrol Hypertens,2009,18:526-530.
-
10Coppo R,Cattran D,Roberts Ian SD,et al.The new oxfordclinicopathological classification of IgA nephropathy[J].Prilozi,2010,31:241-248.
共引文献57
-
1陶水兴,赵久阳,尹永红.IgA肾病的临床与病理联系[J].大连医科大学学报,2006,28(5):400-401. 被引量:1
-
2秦伟,杨立川,谭淳予,张颖娟,樊均明.外周血B淋巴细胞β1,3半乳糖基转移酶及其伴侣蛋白核酸表达和IgA肾病的关系[J].中华肾脏病杂志,2007,23(10):677-678. 被引量:3
-
3李开龙,何娅妮,左洪炜,王惠民,丁涵露,杨聚荣.水蛭素治疗以血尿为主要表现的免疫球蛋白A型肾病的随机对照临床研究[J].中西医结合学报,2008,6(3):253-257. 被引量:20
-
4曹琦,徐虹,黄文彦,周利军,沈茜.儿童无症状尿检异常IgA肾病的临床病理和预后分析[J].中华肾脏病杂志,2008,24(5):324-327. 被引量:3
-
5聂莉芳,韩东彦,余仁欢,于大君,孙红颖,王洪霞,林秀彬,张昱,徐建龙.363例IgA肾病气阴两虚证临床和病理特点[J].北京中医药大学学报(中医临床版),2008,15(5):1-4.
-
6杨福燕,魏崇一,李超英.雷公藤多甙治疗非肾病综合征IgA肾病对照研究[J].中华全科医学,2008,6(11):1138-1139. 被引量:20
-
7占永立,杨晓芳.无症状性血尿或蛋白尿患者临床与病理相关性分析[J].中国中西医结合肾病杂志,2009,10(2):161-163. 被引量:4
-
8陈英,覃英.三联疗法治疗中等量蛋白尿IgA肾病临床疗效观察[J].现代医药卫生,2009,25(11):1645-1646. 被引量:8
-
9吴丽华,周晓玲,陈孟华.单纯蛋白尿与蛋白尿伴不同程度血尿的IgA肾病患者临床与病理分析[J].宁夏医学杂志,2009,31(7):615-616. 被引量:3
-
10杨福燕.来氟米特治疗IgA肾病的对照研究[J].中国实用医药,2009,4(22):17-19. 被引量:1
-
1陈丽叶,董吉祥.脂代谢紊乱在2型糖尿病肾病及其他慢性肾病患者中的临床研究[J].苏州大学学报(医学版),2008,28(2):258-260. 被引量:3
-
2刁兵,张道友.免疫抑制剂治疗IgA肾病进展[J].辽宁医学院学报,2015,36(4):110-112. 被引量:1
-
3范为民,李艳,胡怡芳.IgA肾病中西医循证医学治疗进展[J].中西医结合研究,2013,5(6):316-319. 被引量:2
-
4孙辽,邓华聪,刘文媛,孙桂枝,武明虎.桥本甲状腺炎伴肾病综合征12例临床分析[J].重庆医科大学学报,2002,27(3):351-353.
-
5吴春林.轻度蛋白尿患者的肾脏病理分析[J].中国误诊学杂志,2011,11(4):856-857.
-
6贺泽华.肾病综合征患者血清脂质的变化[J].实用医药杂志(武汉),1998,11(3):15-17.
-
7吴伽,郑希林,冯友喜,侯飞,李传忠.糖尿病和高血压病患者尿微量白蛋白定量分析[J].微循环学杂志,2005,15(3):76-77. 被引量:4
-
8刘志红,黎磊石,LilianeJ.Striker,GaryE.Striker.突变型生长激素转基因小鼠对STZ诱导的肾小球损伤具有保护作用[J].肾脏病与透析肾移植杂志,1996,5(1):1-5. 被引量:4
-
9徐杰,段正军,刘学梅.尿液Alb和β2-m在糖尿病肾病早期诊断中的应用[J].医学检验与临床,2007,19(1):71-71.
-
10林琳,夏雪.长期使用依那普利可缓解糖尿病患者的病情恶化[J].国外医学情报,2003,24(11):43-43.