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44例单纯性肾病患儿.随机分为强的松治疗单剂组和分剂组,单剂组共19例,其中男14例,女5例,年龄(X±s)为7.21±3.52;分剂组共25例,其中男18例,女7例,年龄为7.54±4.24.强的松按每2mg/(kg·d)给予,单剂组为早晨一次顿服,分剂组则分3~4次服。从第5周开始,按2mg/(kg·d),隔日早晨一次顿服。两组减量方法相同。临床研究表明,两组诱导缓解时间较为接近,诱导缓解时间单剂组为10.81±3.61d,分剂组为11±3.89d(P>0.05).但每日单剂组的柯兴氏征、高血压及食欲亢进等药物副作用明显低于每日分剂组。说明单剂组疗效相同,但药物副作用少,值得临床推广使用。
44 cases of simple nephrotic children. Randomly divided into prednisone treatment of single dose group and divided dose group, a single dose group of 19 cases, including 14 males and 5 females, age (X ± s) was 7.21 ± 3.52; 25 cases, including 18 males and 7 females, aged 7.54 ± 4.24. Prednisone at 2mg / (kg · d) given, a single dose group for the morning meal, sub-dose group is divided into 3 to 4 times service. From the fifth week, according to 2mg / (kg · d), the next morning Dayton clothing. The same two methods of reduction. Clinical studies show that the two groups of induction of remission time is closer to the induction of remission time of single-agent group was 10.81 ± 3.61d, divided into groups of 11 ± 3.89d (P> 0.05). However, the single dose group of Cushing’s syndrome, hypertension and hyperalgesia and other drugs side effects were significantly lower than the daily dose group. Single-dose group that the same effect, but less side effects of drugs, it is worth to promote clinical use.