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系统性红斑狼疮妊娠期间免疫抑制治疗的安全性评价
Efficacy and Safety of Immunosuppressive Therapy During Pregnancy in Systemic Lupus Erythematosus: a Commentary
  
DOI:
中文关键词:  系统性红斑狼疮  免疫抑制  妊娠  用药安全
英文关键词:Systemic lupus erythematosus  Immunosuppression  Pregnancy  Medication safety
基金项目:
作者单位
沈思钰 朱培元 傅晓东 ①南京军区南京总医院风湿免疫专科(南京 210002)②南京军区血液中心③复旦大学附属华山医院。 
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中文摘要:
      摘 要系统性红斑狼疮是以多种自身抗体导致不同靶器官损害为特点的自身免疫病,免疫抑制治疗始终是国际研究的热点与难点。现有的资料显示在妊娠期间,糖皮质激素、硫酸羟氯喹、硫唑嘌呤以及环孢素、他克莫司、静脉注射丙种免疫球蛋白、血浆置换和生物制剂治疗临床有益,未来研究应在国际多中心大样本、随机、对照研究的基础上,更专注于安全性的研究。
英文摘要:
      ABSTRACSystemic lupus erythematosus was a challenging autoimmune disease with multiorgan dysfunction induced by diverse autoantibodies, and the strategy of immunosuppressive therapy was not only the hotspot, but also the difficult viewpoint on acute critical and refractory cases in clinic. The data hint many immunosuppressive therapies, such as glucocorticoids, hydroxychloroquine, azathioprine, cyclosporine, tacrolimus, intravenous immunoglobulin, plasma exchange and biologicals, should be effective and safe during a lupus pregnancy. In the future, the multicenter studies should focus on efficacy and safety of immunosuppressive therapy during pregnancy in systemic lupus erythematosus.
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