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[环磷酰胺和甲泼尼龙大剂量冲击治疗白塞病性葡萄膜炎。采用新评估标准的初步结果]

[Bolus of cyclophosphamide and methylprednisolone in uveitis in Behçet's disease. Preliminary results with the use of new criteria of evaluation].

作者信息

Hamza M, Meddeb S, Mili I, Ouertani A

机构信息

Service de Rhumatologie, Hôpital La Rabta, Tunis, Tunisie.

出版信息

Ann Med Interne (Paris). 1992;143(7):438-41.

PMID:1300863
Abstract

In a prospective open trial, the effect of pulse cyclophosphamide or methylprednisolone in the treatment of Behçet's disease uveitis was studied. The therapeutic effect was evaluated based on two scores: one evolutive, reflecting ocular inflammation and calculated for each eye before and after therapy; and the other, a measure of disease severity, which took into consideration the irreversible damage. Patients who received cyclophosphamide pulse therapy (n = 8) had significantly lower evolutive scores (16.12 +/- 3.95, vs 10.37 +/- 8.53, p < 0.01) than the patients receiving classical methylprednisolone pulse therapy (n = 20), who had no significant changes in their evolutive scores (12.95 +/- 8.55, vs 10.05 +/- 8.56, p > 0.05).

摘要

在一项前瞻性开放试验中,研究了脉冲环磷酰胺或甲泼尼龙治疗白塞病葡萄膜炎的效果。基于两个评分评估治疗效果:一个是动态评分,反映眼部炎症,在治疗前后对每只眼睛进行计算;另一个是疾病严重程度的衡量指标,考虑了不可逆损伤。接受环磷酰胺脉冲治疗的患者(n = 8)的动态评分(16.12 +/- 3.95,对比10.37 +/- 8.53,p < 0.01)显著低于接受传统甲泼尼龙脉冲治疗的患者(n = 20),后者的动态评分无显著变化(12.95 +/- 8.55,对比10.05 +/- 8.56,p > 0.05)。

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