首都医科大学附属北京儿童医院中医科,北京 100045
胡艳,女,59岁,硕士,主任医师。研究方向:中西医结合治疗儿童风湿性疾病。E-mail:huyan1302@sina.com
纸质出版日期:2024-02-25,
收稿日期:2024-01-03,
扫 描 看 全 文
胡艳,袁昕,曹童童,等.儿童过敏性紫癜、紫癜性肾炎的中西医结合诊疗方案[J].北京中医药,2024,43(2):109-113.
HU Yan,YUAN Xin,CAO Tong-tong,et al.Diagnosis and treatment plan of integrated Chinese and western medicine for children with allergic purpura and purpura nephritis[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(02):109-113.
胡艳,袁昕,曹童童,等.儿童过敏性紫癜、紫癜性肾炎的中西医结合诊疗方案[J].北京中医药,2024,43(2):109-113. DOI: 10.16025/j.1674-1307.2024.02.001.
HU Yan,YUAN Xin,CAO Tong-tong,et al.Diagnosis and treatment plan of integrated Chinese and western medicine for children with allergic purpura and purpura nephritis[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(02):109-113. DOI: 10.16025/j.1674-1307.2024.02.001.
过敏性紫癜(Henoch- Schmleipurpura,HSP)是儿童常见疾病,其临床表现多样,可导致多脏器损害,严重影响儿童的生长发育与身心健康。HSP好发于学龄期儿童,秋冬季高发,是一种与IgA沉积相关的免疫介导性血管炎,西医主要采用对症及支持治疗,使用激素、免疫抑制剂等,但目前尚无统一的治疗方案。HSP属中医学“斑疹”和“血证”范畴,中医药治疗具有一定特色与优势,在疾病的不同阶段采用中西医结合治疗,可以达到优势互补、提质增效、缩短病程、控制复发及改善预后的目的。为进一步规范HSP的中西医结合诊断及治疗,由首都医科大学附属北京儿童医院中医科组织专家,依据相关文献及诊疗经验制定本诊疗方案,以期提高临床医师对本病的认识及诊治能力。
过敏性紫癜紫癜性肾炎儿童中西医结合诊疗方案
舒静,陈芳,何强,等.儿童过敏性紫癜合并胰腺炎临床特征及治疗随访分析[J].中国实用儿科杂志,2018,33(1):60-64.
JENNETTE JC,FALK RJ,BACON PA,et al.2012 revised international chapel hill consensus conference nomenclature of vasculitides[J].Arthritis Rheum,2013,65(1):1-11.
PIRAM M,MAHR A.Epidemiology of immunoglobulin a vasculitis(Henoch-Schönlein):current state of knowledge[J].Curr Opin Rheumatol,2013,25:171-178.
DUMONT C,MÉROUANI A,DUCRUET T,et al.Clinical relevance of membrane attack complex deposition in children with IgA nephropathy and Henoch-Schönlein purpura[J].Pediatr Nephrol,2020,35(5):843-850.
WOERNER A,RUDIN C,BONETTO C,et al.IgA vasculitis (Henoch-Schönlein):case definition and guidelines for data collection,analysis,and presentation of immunisation safety data[J].Vaccine,2017,35(11):1559-1566.
REID-ADAM J.Henoch-Schonlein purpura[J].Pediatr Rev,2014,35(10):447-449.
XU L,LI Y,WU X.IgA vasculitis update:epidemiology,pathogenesis,and biomarkers[J].Front Immunol,2022,13(3):921864.
PILLEBOUT E,SUNDERKÖTTER C.IgA vasculitis[J].Semin Immunopathol,2021,43(5):729-738.
LAU KK,SUZUKI H,NOVAK J,et al.Pathogenesis of Henoch-Schonlein purpura nephritis[J].Pediatr Nephrol,2010,25(1):19-26.
胡艳,幺远.风湿病中医临床诊疗丛书·儿童风湿病[M].北京:中国中医药出版社,2021:186-188.
李辉.儿童过敏性紫癜个体化护理体会[J].北京医学,2018,40(5):477-479.
易著文.小儿过敏性紫癜的诊断与治疗[J].中国实用儿科杂志,2009,24(11):827-830.
XU Y,WANG JJ,LIU FF,et al.Predisposing factors of childhood Henoch-Schönlein purpura in anhui province,China[J].J Investig Med,2019,67(4):771-778.
AUDEMARD-VERGER A,PILLEBOUT E,AMOURA Z,et al.Gastrointestinal involvement in adult IgA vasculitis (Henoch-Schönlein purpura):updated picture from a French multicentre and retrospective series of 260 cases[J].Rheumatology(Oxford),2020,59(10):3050-3057.
中华医学会儿科学分会肾脏学组.紫癜性肾炎诊治循证指南(2016)[J].中华儿科杂志,2017,55(9):647-651.
中华医学会儿科学分会免疫学组,《中华儿科杂志》编辑委员会.儿童过敏性紫癜循证诊疗建议[J].中华儿科杂志,2013,51(5):502-507.
JELUSIC M, SESTAN M, GIANI T,et al.New insights and challenges associated with IgA vasculitis and IgA vasculitis with nephritis-is it time to change the paradigm of the most common systemic vasculitis in childhood[J].Front Pediatr,2022,10(15):853724.
傅桐,杜悦.儿童IgA血管炎诊断与治疗[J].中国实用儿科杂志,2022,37(1):17-21.
SHEN H,MAO J,SHU Q,et al.Encephalopathy in Henoch-Schönlein Purpura[J].Indian Pediatr,2017,54(8):675-677.
ITO Y,ARITA M,KUMAGAI S,et al.Diffuse alveolar hemorrhage in iga vasculitis with an atypical presentation[J].Intern Med,2018,57(1):81-84.
MICHAS G,GRIGORIOU K,SYRIGOS D,et al.A rare cause of myocarditis resulting in acute heart failure in the setting of Henoch-Schönlein purpura[J]. Hellenic J Cardiol,2017,58(6):439-442.
BUSCATTI IM,ABRÃO HM,KOZU K,et al.Characterization of scrotal involvement in children and adolescents with IgA vasculitis[J].Adv Rheumatol,2018,58(1):38.
中华医学会儿科学分会免疫学组,中华儿科杂志编辑委员会,中国儿童风湿免疫病联盟.中国儿童IgA血管炎诊断与治疗指南(2023)[J].中华儿科杂志,2023,61(12):1067-1076.
杨薇.儿童腹型过敏性紫癜的超声诊断研究进展[J].现代诊断与治疗,2023,34(4):523-526.
WEISS PF,FEINSTEIN JA,LUAN X,et al.Effects of corticosteroid on Henoch-Schönlein purpura:a systematic review[J].Pediatrics,2007,120(5):1079-1087.
OZEN S,PISTORIO A,IUSAN SM,et al.EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura,childhood d polyartiritis nodosa,childhood wegener granulomatosis and childhood takayasu artiritis:Ankara2008.PartⅡ:Final classify-cation criteria[J].Ann Rheum Dis,2010,69(5):798-806.
中华医学会儿科学分会肾脏学组.紫癜性肾炎诊治循证指南(2016)[J].中华儿科杂志,2017,55(9):647-651.
尹东豪,郭亚丽,曹童童,等.动物蛋白饮食对过敏性紫癜患儿预后的影响分析[J].中国当代儿科杂志,2021,23(9):927-932.
ALVAREZ-CARO F,CONCHA-TORRE JA,GARCIÁ-HERNANDEZ I,et al.Massive lower gastrointestinal haemorrhage,suc-cessfully treated with corticosteroids,as main symptom of Schönlein-Henoch purpura[J].Rheumatol Int,2009,29:1491-1494.
CHEN SY,KONG MS.Gastrointestinal manifestations and complications of Henoch-Schonlein purpura[J].Chang Gung Med J,2004,27:175-181.
张廷廷.儿童紫癜性肾炎的诊治进展[J].国际儿科学杂志,2019(12):859-863.
张淼,杨燕,赵骞.青紫合剂治疗儿童热毒血瘀型过敏性紫癜的临床疗效观察[J].中华中医药杂志,2019,34(4):1822-1824.
郭亚丽,胡艳,曹童童,等.紫癜康方干预儿童过敏性紫癜复发的前瞻性随机对照研究[J].中国中医急症,2023,32(4):681-684.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构