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[用细胞抑制剂治疗慢性肾小球肾炎]

[Treatment of chronic glomerulonephritis with cytostatics].

作者信息

Tareeva I E, Gordovskaia N B, Gladskikh O P, Ivanov A A, Krasnova T N

出版信息

Ter Arkh. 1989;61(6):9-14.

PMID:2799726
Abstract

A retrospective analysis was made of the efficacy of oral treatment with cytostatics (azathioprin, batriden, cyclophosphamide) in 109 patients with chronic glomerulonephritis (CGN) (with a known morphologic appearance in 94 patients) and with excessive doses of cyclophosphamide i. v. in 32 patients with CGN depending on the nephritis standing, its clinical pattern and morphologic variant. The best results were recorded with nephritis lasting up to 2 years in patients suffering from the nephrotic pattern of CGN or at the stage of the nephrotic syndrome formation in patients with latent CGN, in membranoproliferative, membranous and membranocapillary versions of CGN, during pulse therapy, and in patients with focal segmental glomerulohyalinosis. No remissions were observed in mixed CGN. The experimental data are also provided concerning the influence of a single oral cyclophosphamide administration on the morphologic signs of nephritis in GBA and C57BL mice.

摘要

对109例慢性肾小球肾炎(CGN)患者(94例有已知形态学表现)口服细胞抑制剂(硫唑嘌呤、巴曲酶、环磷酰胺)的疗效进行了回顾性分析,并根据肾炎病程、临床类型和形态学变异,对32例CGN患者静脉注射过量环磷酰胺的疗效进行了回顾性分析。在CGN肾病综合征型病程长达2年的患者中,或在隐匿性CGN患者肾病综合征形成阶段,在膜增生性、膜性和膜毛细血管性CGN患者中,在脉冲治疗期间,以及在局灶节段性肾小球玻璃样变患者中,均记录到了最佳疗效。在混合型CGN中未观察到缓解情况。还提供了关于单次口服环磷酰胺对GBA和C57BL小鼠肾炎形态学征象影响的实验数据。

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