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Clinical research of single glucocorticoid treatment and glucocorticoid joint cyclophosphamide treatment on thyroid-associated ophthalmopathy

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Author:
No author available
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
7
DOI:
10.3760/cma.j.issn.1008-6706.2012.07.003
Key Word:
Graves眼病;糖皮质激素类;环磷酰胺;Graves ophthalmopathy;Glucocorticoids;Cyclophosphamide

Abstract: Objective To explore the effect of single glucocorticoid treatment and glucocorticoid joint cyclophosphamide treatment on thyroid-associated ophthalmopathy.Methods Retrospective analysis of clinical data of 35patients used single glucocorticoid( single medicine group) and 16 patients used glucocorticoids joint cyclophosphamide(joint group) was carried out.Results The effective rate of joint group(93.8% ) was significantly higher than single drug group (68.6%) ( x2 =3.87,P < 0.05).Simple using glucocorticoid had significant treatment effect at CAS score,prominent eyes degrees,soft tissue inflammation score,but the curative effect was significantly lower than the joint group ( P < 0.05 ).The adverse reaction rate had no significant difference between two groups.Conclusion Compared to single glucocorticoid treatment,the glucocorticoid joint cyclophosphamide treatment had better effect and lower adverse reaction rate,especially suitable for patients who had no effect or low effect on hormone therapy.

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