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观察老年人原发性肾病综合症的临床特点。对 2 8例老年人原发性肾病综合症进行回顾性分析并与同期的 189例成年人原发性肾病综合症进行对照。老年人原发性肾病综合症高血压发生率较高 (X2 =5 2 1P <0 0 5 ) ;肾功能不全发生率较高(X2 =3 89P <0 0 5 ) ;完全缓解率较低 (X2 =4 2 7P <0 0 5 ) ;复发率较低 (X2 =9.18P <0 0 1) ;药物治疗不良反应较多。老年人原发性肾病综合症并发高血压及肾功能不全较多 ,完全缓解率及复发率较低。对经正规治疗不能达到缓解者应重视药物不良反应 ,以控制高血压和保护肾脏功能为治疗目的。
To observe the clinical features of the elderly with primary nephrotic syndrome. A retrospective analysis of 28 elderly patients with primary nephrotic syndrome was performed and compared with 189 primary nephrotic syndromes in the same period. The incidence of hypertension in the elderly with primary nephrotic syndrome was higher (X2 = 521P <0 05); the incidence of renal insufficiency was higher (X2 = 3 89P <0 05); the rate of complete remission was lower X2 = 4 2 7P <0 0 5). The relapse rate was lower (X2 = 9.18P <0.01). There were more side effects of drug treatment. Elderly patients with primary nephrotic syndrome complicated by hypertension and renal insufficiency, complete remission rate and recurrence rate is low. For those who can not be relieved by regular treatment should pay attention to adverse drug reactions to control high blood pressure and protect renal function for the purpose of treatment.