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丹芪活肝胶囊抗酒精性肝炎纤维化临床研究

THE CLINICAL STUDY OF THE EFFECT OF DANQIHUOGAN CAPSULE ON ALCOHOL-INDUCED LIVER FIBROSIS

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【作者】 张鹤梁建新曾文铤谢栩硕

【Author】 ZHANG He,LIANG Jianxin,ZENG Wenting,et al The First Affiliated Hospital of Guangzhou Medical College,Guangzhou City,Guangdong Province 510120 PRC

【机构】 广州医学院第一附属医院

【摘要】 目的观察丹芪活肝胶囊对酒精性肝炎患者肝纤维化指标的影响,旨在探索能有效阻止酒精性肝炎纤维化的途径。方法将84例酒精性肝炎患者分为治疗组42例及对照组42例,两组患者均常规戒酒及使用多烯磷脂酰胆碱治疗,治疗组加用丹芪活肝胶囊。治疗前及治疗后半年检测患者肝功能、肝纤维化指标。结果治疗后两组肝功能均有改善,谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆红素(TB)、白蛋白(ALB)在两组间比较无统计学差异(p>0.05);肝纤维化指标透明质酸(HA)、层黏蛋白(LN)、Ⅲ型前胶原(PCⅢ)、Ⅳ型胶原(C-Ⅳ)治疗组明显低于对照组(p<0.05)。结论丹芪活肝胶囊对酒精性肝炎患者纤维化指标有明显改善作用。

【Abstract】 Objective To investigate the efficacy of Danqihuogan Capsule for therapy of patients with alcoholic hepatitis by evaluating the fibrosis indices in order to look for the ways to prevent alcohol-induced liver fibrosis.Methods The 84 eligible patients with alcoholic hepatitis were divided into 2 cohorts: one was treated with combination Danqihuogan Capsule plus polyene phosphatidylcholine and the other with polyene phosphatidylcholine monotherapy.The effect was evaluated according to the liver functions together with fibrosis indices at 0 and 6 months after therapy begin.These patients accepted alcohol abstinence.Results The levels of ALT,AST,TB and ALB had no statistically significant difference between two groups at 6 months.But the fibrosis indices including HA,LN,PIIIP,IV-C were lower in combination therapy group than in monotherapy group at month 6(p<0.05).Conclusion Present study suggests that Danqihuogan Capsule plus polyene phosphatidylcholine combination therapy was more efficacious than polyene phosphatidylcholine monotherapy in patients with alcohol-induced liver fibrosis.

  • 【分类号】R259
  • 【被引频次】1
  • 【下载频次】47
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