Improvement in cyclosporine handling by anti-lymphocyte globulin in the early post-operative period.

R Grundmann, P Wienand, U Hesse
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Abstract

The value of prophylactic anti-lymphocyte globulin (ALG) treatment after transplantation was examined in a prospectively randomised study. The control group was treated with azathioprine and steroids only. In a third group prophylactic ALG combined with azathioprine and steroids was given for 8.7 +/- 2.25 days after transplantation and was then replaced by cyclosporine and steroids. Renal graft survival rates could be improved if the conventional immunosuppression was accompanied by ALG prophylaxis. However, additional cyclosporine treatment proved to be desirable since in this way the number of early acute rejection episodes could be further reduced.

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术后早期抗淋巴细胞球蛋白对环孢素处理的改善。
在一项前瞻性随机研究中,研究了移植后预防性抗淋巴细胞球蛋白(ALG)治疗的价值。对照组仅给予硫唑嘌呤和类固醇治疗。第三组在移植后8.7 +/- 2.25天给予预防性ALG联合硫唑嘌呤和类固醇,然后用环孢素和类固醇代替。如果在常规免疫抑制的同时进行ALG预防,可以提高移植肾的存活率。然而,额外的环孢素治疗证明是可取的,因为这样可以进一步减少早期急性排斥发作的数量。
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