摘要
目的探讨重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白(rhTNFR:Fc)治疗甲状腺相关性眼病(TAO)的临床疗效及安全性。方法 TAO患者40例随机均分为两组,分别予rhTNFR:Fc(A组)和甲泼尼龙(B组)治疗12周,比较两组治疗前后临床活动度评分(CAS)及突眼度的变化;检测血清细胞因子水平,记录两组患者不良反应发生情况。结果与治疗前相比,治疗后两组患者CAS、血清IL-6及TNF-α水平均降低(P<0.05),而突眼度变化和血清IL-2水平差异无统计学意义(P>0.05)。治疗后A组血清TNF-α水平低于B组(P<0.05)。A组和B组分别有6例和10例发生不良反应(P>0.05)。结论 rhTNFR:Fc治疗TAO患者疗效确切,可作为治疗TAO的新选择。
Objective To explore the efficacy and safety of recombinant human tumor necrosis factor receptor-Fc fusion protein(rhTNFR:Fc)in the treatment of the patients with thyroid-associated ophthalmopathy(TAO).Methods A total of 40 TAO patients was equally divided into two groups of A(treated with rhTNFR:Fc for 12 weeks)and B(treated with methylprednisolone for 12 weeks).Before and after treatment,the changes of clinical activity scores(CAS)and exophthalmos were measured and seurm levels of TNF-α,IL-2and IL-6were detected.The adverse effects were observed.Results Compared with before,the CAS,serum levels of IL-6and TNF-αafter treatment were lower(P〈0.05).The changes of exophthalmos and serum level of IL-2 after treatment were not significantly different in two groups between before and after treatment(P〈0.05).Serum level of TNF-αafter treatment was lower in group A than that in group B(P〈0.05).The adverse effects were seen in 6cases in group A and 10 cases in group B(P〈0.05).Conclusion rhTNFR:Fc is effective in the treatment of TAO and may be taken as a new choice for TAO.
出处
《江苏医药》
CAS
2016年第9期1004-1006,共3页
Jiangsu Medical Journal
基金
国家自然科学基金(81102032)