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[慢性肾小球肾炎治疗期间肾脏滤过功能的变化]

[Changes in the filtration function of the kidneys during the treatment of chronic glomerulonephritis].

作者信息

Riabov S I, Stavskaia V V, Kozlov V V, Kucher A G

出版信息

Ter Arkh. 1994;66(8):52-7.

PMID:7985156
Abstract

The implications of the treatment variant and chronic glomerulonephritis (CGN) characteristics in the changes of renal function were evaluated by 220 treatment courses for CGN aggravation. A number of statistical methods were employed. In CGN patients free of renal insufficiency glomerular filtration was either unaffected or recovered after transitory decline. In chronic failure further creatinine clearance diminution was observed, serum creatinine levels went up. Corticosteroid treatment was much safer for the kidneys than cytostatics. With increasing duration of CGN, functional affection of the kidney becomes more frequent irrespective of the treatment kind. The same is true for the number of exacerbation and hypertension which are also involved in renal functional decline.

摘要

通过220个慢性肾小球肾炎(CGN)加重的治疗疗程,评估了治疗方案差异和CGN特征对肾功能变化的影响。采用了多种统计方法。在无肾功能不全的CGN患者中,肾小球滤过功能要么未受影响,要么在短暂下降后恢复。在慢性肾衰竭患者中,肌酐清除率进一步降低,血清肌酐水平升高。皮质类固醇治疗对肾脏比细胞抑制剂安全得多。随着CGN病程的延长,无论治疗类型如何,肾脏的功能损害都变得更加频繁。加重发作次数和高血压情况也是如此,它们也与肾功能下降有关。

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