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狼疮性肾炎(LN)的治疗最近有很大的进展,中西医结合能增加疗效而减少其副作用,现结合作者经验,按临床类型分述如下:一、隐匿性或慢性肾炎型病理损害多为系膜性肾小球肾炎或局灶性增生性肾炎,预后较好。隐匿性肾炎型者,可给予隔日晨服强的松30～40mg,此剂量一般无大的危险性,可能有抑制肾病损恶化的作用。慢性肾炎型用激素标准疗程(详下述),是否加用环磷酰胺(CTX)仍有争论。根据作者有限经验,鉴于 LN 的病理类型可互相转化,病人狼疮活动时用激素不能控制,或有发展为肾病综
The treatment of lupus nephritis (LN) has made great progress recently, Integrative Medicine can increase the efficacy and reduce its side effects, are combined with the experience of the author, according to the clinical type are described below: First, occult or chronic nephritis pathological lesions were mostly Mesangial glomerulonephritis or focal proliferative glomerulonephritis, the prognosis is good. Occult nephritis type, can be given tomorrow morning service prednisone 30 ~ 40mg, this dose is generally no major risk, may have the role of inhibiting the deterioration of renal damage. Chronic nephritis with hormone standard treatment (described below), whether or not to add cyclophosphamide (CTX) is still controversial. According to the author’s limited experience, in view of the LN pathological types can be transformed into each other, the patient lupus activity can not control with hormones, or have developed nephrotic syndrome