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报告双倍剂量雷公藤多甙治疗难治性肾病综合征14例近期疗效观察。患者均服用雷公藤多甙2mg/kg·d,治疗8周后,观察24h尿蛋白定量,肾功能变化及副反应。结果,4例获完全缓解(尿蛋白<0.3g/24h),4例获部分缓解(尿蛋白<2.0g/24h),6例无效。所有患者均能耐受双倍剂量雷公藤多甙,其中有2例ALT升高,但不影响治疗。观察认为,双倍剂量雷公藤多甙对部分难治性肾病综合征有较好疗效。
Reported Double - dose Tripterygium Glycosides in Treatment of Refractory Nephrotic Syndrome in 14 Cases. Patients were taken Tripterygium glycosides 2mg / kg · d, 8 weeks after treatment, 24h urine protein quantitation, renal function changes and side effects. Four patients achieved complete remission (urinary protein <0.3g / 24h), partial remission in 4 patients (urinary protein <2.0g / 24h), and 6 were ineffective. All patients were able to tolerate double doses of tripterygium glycosides, including 2 cases of elevated ALT, but did not affect the treatment. Observation that the double dose of tripterygium glycosides on some refractory nephrotic syndrome have a good effect.