Analysis of the Effect of Hormone Therapy Combined with Hydroxychloroquine in the Treatment of IgA Nephropathy

Guo-liang Liu
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Abstract

Objective: To explore and analyze the effect of hormone therapy combined with hydroxychloroquine in the treatment of IgA nephropathy. Methods: 30 patients with IgA nephropathy who were admitted to the Urology Department of Jiuquan hospital from August 2021 to May 2023 were selected as the research subjects, and they divided into an observation group and control group by drawing lots, with 15 cases in each group. The observation group underwent hydroxychloroquine treatment in addition of hormone therapy, and the control group underwent conventional treatment and hormone therapy. The rate of effectiveness of treatment, serum index, and renal function of both groups were compared. Results: The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P < 0.05). There was no significant difference in serum creatinine and serum albumin (P > 0.05) between the groups before treatment; after treatment, the serum creatinine and serum albumin in the steroid group were significantly better than those in the reference group (P < 0.05). Besides, there was no significant difference in urine protein quantification and glomerular filtration rate between the groups before treatment (P > 0.05); after treatment, the hormone group’s urine protein quantification and glomerular filtration rate were significantly better than those in the reference group (P < 0.05). The rate of effectiveness of the hormone group was significantly higher than that of the reference group (P < 0.05). Conclusion: Hormone therapy combined with hydroxychloroquine in the treatment of IgA nephropathy is more effective than hormone therapy alone, thus this treatment plan is worthy of promotion and application.
激素治疗联合羟氯喹治疗IgA肾病疗效分析
目的:探讨和分析激素联合羟氯喹治疗IgA肾病的疗效。方法:选择2021年8月~ 2023年5月酒泉医院泌尿外科收治的IgA肾病患者30例作为研究对象,采用抽签法分为观察组和对照组,每组15例。观察组患者在激素治疗的基础上给予羟氯喹治疗,对照组患者在常规治疗的基础上加激素治疗。比较两组患者的治疗有效率、血清指标及肾功能。结果:观察组患者不良反应发生率显著低于对照组(P < 0.05)。治疗前两组患者血清肌酐、白蛋白比较,差异均无统计学意义(P < 0.05);治疗后,类固醇组血清肌酐、白蛋白显著优于对照组(P < 0.05)。治疗前两组患者尿蛋白定量、肾小球滤过率比较,差异均无统计学意义(P < 0.05);治疗后,激素组尿蛋白定量、肾小球滤过率均显著优于对照组(P < 0.05)。激素组有效率显著高于对照组(P < 0.05)。结论:激素治疗联合羟氯喹治疗IgA肾病效果优于单用激素治疗,值得推广应用。
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