ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2017, Vol. 26 ›› Issue (6): 562-566.DOI: 10.3969/j.issn.1006-298X.2017.06.014

• 论文 • 上一篇    下一篇

狼疮性肾炎流行病学特点的变迁

  

  • 出版日期:2017-12-28 发布日期:2017-12-26

Evolution in epidemiology of lupus nephritis

  • Online:2017-12-28 Published:2017-12-26

摘要:

狼疮性肾炎(LN)是系统性红斑狼疮(SLE)最常见且最严重的内脏并发症之一。约有20%的LN患者在明确诊断10年后进展为终末期肾病(ESRD),给患者带来极大的负担。过去几十年新型免疫抑制剂的应用提高了LN的治疗疗效和患者存活率,但远期肾脏预后是否也随之改善仍不清楚。来自美国的数据提示1995~2010年由LN导致的ESRD发病率呈下降的趋势;来自中国的数据显示1994年~2010年LN的肾脏远期预后逐渐得到改善。本文就LN的流行病学特点的变迁,特别是预后变化趋势的相关研究作一综述。

关键词: 狼疮性肾炎, 预后, 终末期肾病

Abstract:

Lupus nephritis(LN)is one of the most common and severe complication of systemic lupus erythematosus(SLE).Up to 20 percent of LN patients will progress to end stage renal disease(ESRD)within 10 years after their diagnosis,which brings substantial health burden to the patients.With new therapeutic options emerging in the management of LN in recent decades,therapeutic efficacy and patient survival have been improved.However,whether these advances have impacted longterm renal survival is unclear.One research from America found that the rates of endstage LN stopped increasing between 1995 and 2010 and declined in the last decade.Research from China observed that renal outcome improved from 1994 to 2010This review discusses recent data on the changes in epidemiology of patients with LN,especially on the trends in outcomes.

Key words: lupus nephritis, outcome, end stage renal disease