Analysis of 50 cases with HBV-Associated Glomerulonephritis
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摘要: 目的总结近5年来乙肝病毒相关性肾炎(HBV-GN)的临床资料,探讨其临床表现、检验结果及治疗方法。方法分析50例临床资料的临床表现、检验结果,观察抗乙肝病毒药物(核苷类似物或干扰素α)及保护肾脏功能药物血管紧张素转换酶抑制剂(ACEI类)和血管紧张素Ⅱ受体阻滞剂(ARB类)对HBV-GN的治疗效果。结果临床表现以肾病综合征、镜下血尿为多见,各占70%、30%;膜性肾病占76%,膜增殖性肾炎占24%;肝功能除白蛋白外其余项目正常的占78%;凝血功能正常者占92%;治疗后水肿消失者占全部水肿患者的86%,尿蛋白减少者占全部有蛋白尿患者的83%。结论伴随肾脏损害的乙肝患者肝脏损伤发展较单纯乙肝患者慢;抗病毒结合保护肾脏功能对乙肝相关性肾炎疗效确切。Abstract: Objective To explore the clinical manifestation, check result and therapy of HBV-GN.Methods The clinical manifestation and check result were compared.The curative effects of alpha-interferon (IFNα) 、ARB and ACEI for hepatitis B virus associated glomerulonephritis (HBV-GN) were observed.Results The common clinical situation were nephriticsyn-drome (NS) and microscopic hematuria, the ratio were 70% and 30% respectively;The constituent ratio of membranous nephropathy (MGN) and mesangiocapillary glomerulonephritis (MPGN) were 76% and 24% respectively;The ratio was 78% of normal liver function except albumin;The ratio was 92% of normal blood coagulation;The edema disappeared rate in the total number of patients with edema was 86% and the urine protein reduced was 83%.Conclusion Development of liver damage to patients with HBV-GN is slower than patients without HBV-GN;It may be useful that the treatment with antiviras and protecting kidney function for patients with HBV-GN.
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