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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2014, Vol. 19 ›› Issue (7): 805-808.

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Clinical observation of montelukast in prevention of Henoch-Schonlein purpura with renal impairment

CHEN Su-zhe1, ZHOU Yao-lin2   

  1. 1 Department of Pediatrics,People's Hospital of Dingzhou, Dingzhou 073000, Hebei, China;
    2 Department of Pediatrics,Beijing Changping Area Cooperation of Chinese and Western Medicine Hospital,Beijing 102208,China
  • Received:2014-03-27 Revised:2014-07-01 Published:2014-07-21

Abstract: AIM: To observe the clinical efficacy and safety of montelukast in prevention of Henoch-Schonlein purpura with renal impairment. METHODS: Using a randomized controlled method, 200 cases of Henoch-Schonlein syndrome were randomly divided into the experimental group (n=100)and control group (n=100),two groups were given conventional treatment,the experimental group was based on combined with montelukast and the control group was based on combined with low molecular heparin sodium.The clinical treatment result,the changes of urine albumin and β2 microglobulin levels in different time periods were observed.RESULTS:Efficacy of the experimental group was 91.00% while the control group was 81.00% (χ2=4.15, P<0.05) .Compared with the control group,the children disappearing time rash, abdominal pain and joint pain remission time and the total duration in the experimental group were significantly shorter (P<0.01). After treatment, the levels of urinary albumin and urinary β2 microglobulin in experimental group were significantly lower than those in the control group (P<0.01). CONCLUSION: The preventive effect of montelukast on henoch-schonlein purpura with renal involvement method is simple,safe,so it deserves preference in clinic.

Key words: montelukast, henoch-schonlein purpura, henoch-schonlein purpura nephritis

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