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中国临床药理学与治疗学 ›› 2003, Vol. 8 ›› Issue (3): 336-338.

• 研究原著 • 上一篇    下一篇

雷公藤多苷片对小儿肾性蛋白尿的影响

胡国华   

  1. 金华职业技术学院医学院儿科教研室, 金华 321000, 浙江
  • 收稿日期:2002-11-22 修回日期:2003-01-25 出版日期:2003-06-26 发布日期:2020-11-25
  • 通讯作者: 胡国华, 男, 副主任医师, 研究方向:小儿肾病。Tel:0579-2309270 E-mail:huguohua-123@mail.china.com

Influence of tripterygium wilfordii on the children with nephrotic proteinuria

HU Guo-Hua   

  1. Department of Paediatrics, Medical College of Jinhua Profession Technology College, Jinhua 321000, Zhejiang
  • Received:2002-11-22 Revised:2003-01-25 Online:2003-06-26 Published:2020-11-25

摘要: 目的: 探讨雷公藤多苷片在小儿原发性和继发性肾病综合征治疗中的价值及降低肾性蛋白尿的作用。方法: 选择近4 年来30 例病人, 全部经肾活检确定病理类型。口服雷公藤多苷片1.5 mg·kg-1·d-1, 共4 wk, 观察浮肿消退, 尿量增减及消化道反应, 定期检查24 h 尿蛋白定量、肝肾功能、外周血象及血浆蛋白变化。结果: 30 例中14 例得到缓解, 12例改善, 有效共26 例, 占86.7 %, 其中治疗1 wk 后有效7 例, 2 wk 后有效9 例, 4 wk 后无效4 例, 30 例中仅有个别轻度消化道症状, 少数病人治疗初期血清谷丙转氨酶(ALT) 轻度上升, 继续治疗后恢复, 有3 例在整个治疗过程中白细胞降至3.5 ×109 ·L-1,但均未影响疗程, 所有病人肾功能均正常。结论: 雷公藤多苷能有效降低小儿肾性蛋白尿, 明显改善原发性及继发性肾脏病的临床症状。

关键词: 药效学, 肾性蛋白尿, 雷公藤多苷, 儿童

Abstract: AIM: To investigate the value and the effect of tripterygium wilfordii on decreasing proteinuria in the primary and secondary nephropathy syndrome in children. METHODS: 30 patients were confirmed the pathology classification, and given tablets of tripterygium wilfordii by 1.5 kg·d -1 for 4 weeks.24-hour urine volume and gastrointestinal reaction were observed, and regularly the 24-hour proteinuria quantity, hepatic and renal function, peripheral blood, and serum albumin were examined. RESULTS: 14 of 30 patients were effective after the treatment, 12 patients were improved, 7 patients were effective after 1-week treatment, and 9 patients were effective after 2 weeks.Individual patients had moderate gastrointestinal disorder;a few patients had modest ALT increase in early therapy;and all recovered after continuous treatment.The value of WBC in 3 patients decreased to 3.5 ×109 L -1 in the whole course, but, it did not affected the administration.All patients had normal renal function. CONCLUSIONs: Tripterygium wuilfordii can effectively decrease proteinuria, and improve the symptom of primary and secondary nephropathy syndrome in children.

Key words: pharmacodynamics, tripterygium wilfordii, nephritic proteinuria, children

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