IgA肾病(IgA—N)是常见的原发性肾小球肾病,30—40％的患者经过缓慢的病程进展后发生终未期肾衰。作者对经激素治疗的IgA—N的IgA—N的临床病程进行了随访观察,评价了激素治疗的作用。病人与方法 29例伴有大量蛋白尿(尿蛋白≥2.0/日)和34例中11例伴有中等量蛋白尿(尿蛋白1.0—2.0/日)的IgA—N患者接受了1—3羊激素治疗,最初用强的松40mg/日,持续4周,以后递减至30、25、20mg/日各8周,维持量为15 IgA nephropathy (IgA-N) is a common primary glomerular nephropathy, and 30-40% of patients develop a late-onset renal failure after a slow course of progression. The authors followed the clinical course of hormone-treated IgA-N IgA-N and evaluated the effects of hormone therapy. Patients and Methods A total of 29 patients with IgA-N who had extensive proteinuria (urinary protein ≥2.0 / day) and 11 patients with moderate proteinuria (urinary protein 1.0-2.0 / day) in 34 patients received 1-3 sheep Hormonal therapy, initially with prednisone 40mg / day, for 4 weeks, after decreasing to 30,25,20 mg / day for 8 weeks, the maintenance volume of 15