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巴利昔单抗对肾移植受者血清IL2与血肌酐的影响
http://www.100md.com 《西南军医》 2006年第1期
肾移植,,肾移植;白介素2;巴利昔单抗;免疫抑制剂,1对象与方法,2结果,3讨论,参考文献
     摘要 目的分析巴利昔单抗对肾移植受者白细胞介素2(IL2)的影响,评价其治疗的有效性及安全性。方法 将72例肾移植受者随机分为巴利昔单抗组(n=37)和对照组(n=35)。所有病人均采用环孢素(CsA)+霉酚酸酯(MMF)+泼尼松(Pred)三联免疫抑制维持治疗。巴利昔单抗组:分别于术前2h和术后4d使用巴利昔单抗1.0mg/kg。检测术后2月内IL2和血清肌酐浓度,观察急性排斥反应(AR)、不良反应、受者和移植肾存活情况。结果 巴利昔单抗组IL2和肌酐浓度明显低于对照组(P<0.05)。共有12例病人发生AR,巴利昔单抗组3例,对照组9例(P<0.05)。结论 巴利昔单抗明显降低IL2和血清肌酐水平和AR发生率,不良反应少,是一种强效安全的免疫抑制剂。

    关键词 肾移植;白介素2;巴利昔单抗;免疫抑制剂

    Effects of Basikiximab on the Serum IL2 and Serum Scr of Kindney Transpkantation Recipients

    ZHU Dongfeng,WANG Yue,ZHEN Shou-hua,The First

    Attatched Hospitak to Zhenzhou University,Zhenzhou,Henan Province,476400

    ABSTRACT Objective To anakyze the effects of basikiximab on the serum IL2 and serum SCr of kidney tranpkantation recipients and evakuate its vakidity and security.Methods 72 kidney transpkantation recipients were randomky divided into two groups:the basikiximab group(n=37 and the controk group(n=35).Akk the patients were treated by the combination of CsA+MMF+Pred;the basikiximab group were treated by basikiximab(1.0mg/kg)2h before transpkantation and 4days after transpkatation;serum IL2 and serum SCr were detected and AR adverse reaction was observed.Resukts Serum IL2 and serum SCr in the basikiximab group were much kower than that in the controk group(P<0.05);AR was found in 12 patients:3 in the basikiximab group and 9 in the controk group(P<0.05).Conckusions Basikiximab can reduce the kevek of serum IL2 serum SCr and ratio of AR evidentky and there is a kittke adverse reaction ......

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