Clinical efficacy of centrifugal-membranous hybrid double filtration plasmapheresis and membranous double filtration plasmapheresis on severe lupus nephritis.

IF 1.9 4区 医学 Q3 RHEUMATOLOGY
Lupus Pub Date : 2023-08-01 DOI:10.1177/09612033231187229
Jianhua Dong, Li Huang, Chuan Li, Bian Wu, Xi Yang, Yongchun Ge
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Abstract

Objective: The study delves into the clinical efficacy and safety of centrifugal-membranous hybrid double filtration plasmapheresis (C/M hybrid DFPP) on severe lupus nephritis (LN) by comparing it with membranous DFPP (M DFPP).

Methods: A retrospective cohort study was conducted in 70 patients who were diagnosed with severe LN and had received DFPP treatment.

Results: A total of 181 DFPPs were performed, including 133 C/M hybrid DFPPs (51 patients) and 48 M DFPPs (19 patients).The ANA, A-dsDNA titer, quantitative urinary protein, and serum creatinine decreased significantly and hemoglobin increased significantly after the DFPP treatment and at third month after treatment. Two patients in the M DFPP group developed bleeding complications, and four patients in the C/M hybrid DFPP group developed perioral numbness.

Conclusion: Although there was no significant difference in clinical efficacy between C/M hybrid DFPP and M DFPP on severe LN, the risk of bleeding complications was significantly lower in the C/M hybrid DFPP group.

离心-膜混合双滤浆置换与膜双滤浆置换治疗重度狼疮性肾炎的临床疗效观察。
目的:通过与膜性双滤浆置换(M - DFPP)的比较,探讨离心-膜性混合型双滤浆置换(C/M -混合型DFPP)治疗严重狼疮性肾炎(LN)的临床疗效和安全性。方法:对70例诊断为严重LN并接受DFPP治疗的患者进行回顾性队列研究。结果:共进行了181例DFPPs,其中C/M混合型DFPPs 133例(51例),M型DFPPs 48例(19例)。DFPP治疗后及治疗后第3个月,ANA、A-dsDNA滴度、定量尿蛋白、血清肌酐显著降低,血红蛋白显著升高。M DFPP组2例出现出血并发症,C/M混合DFPP组4例出现口周麻木。结论:C/M混合型DFPP与M混合型DFPP治疗严重LN的临床疗效无显著差异,但C/M混合型DFPP组出血并发症风险明显降低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Lupus
Lupus 医学-风湿病学
CiteScore
4.20
自引率
11.50%
发文量
225
审稿时长
1 months
期刊介绍: The only fully peer reviewed international journal devoted exclusively to lupus (and related disease) research. Lupus includes the most promising new clinical and laboratory-based studies from leading specialists in all lupus-related disciplines. Invaluable reading, with extended coverage, lupus-related disciplines include: Rheumatology, Dermatology, Immunology, Obstetrics, Psychiatry and Cardiovascular Research…
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