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1、實(shí)用肝臟病雜志2014年1月第17卷第1期JPracHepatol,.Jan.2?014Yo1.17·45·—N—o.1·病毒性肝炎·復(fù)方牛胎肝提取物治療慢性乙型肝炎療效觀察孫濤,毛華,王倩【摘要】目的觀察復(fù)方牛胎肝提取物片治療慢性乙型肝炎患者的療效。方法120例慢性乙型肝炎患者被隨機(jī)分為治療組64例和對(duì)照組56例。對(duì)照組給予基礎(chǔ)治療,治療組加用復(fù)方牛胎肝提取物治療3m,觀察兩組治療前后臨床、肝功能和肝纖維化指標(biāo)的變化。結(jié)果在3m治療結(jié)束時(shí),治療組乏力和納差的改善率分別為92.00%和91.84%,顯著高于對(duì)照組(56.41%和58
2、.33%,P<0.05);治療組ALT為(35.6±17.2)U/L、AST為(38.5±18.6)U/L、GGT為(40.6±19.7)U/L、總膽紅素為(16.1±13.9)mol/L,均較治療前[分別為(110.8±61.4)U/L、(97.2±62.4)U/L、(106.3±60.1)U/L、(47.8±19.3)mol/L)]顯著下降(尸<0.05);治療組基線時(shí)III型前膠原肽為(36.7±11.3)IXg/L、透明質(zhì)酸為(276.4±79.5)g/L、層粘連蛋白為(169.8±73.4)g/L、IV型膠原為(155.8
3、-t-61.5)g/L,治療后均顯著下降[分別為(16.4-4-6.1)g/L、(110.8±51.4)g/L、(70.8±34.9)g/L、(97.8±41.4)g/L,P<0.05)]。結(jié)論復(fù)方牛胎肝提取物片治療慢性乙型肝炎患者有一定的效果?!娟P(guān)鍵詞】慢性乙型肝炎;復(fù)方牛胎肝提取物片;療效DOh10.3969~.issn.1672—5069.2014.O1.013Eficacyofcompoundembryonicbovineliverextracttabletsintreatmentofpatientswithchronich
4、epatitisBSunTao,MaoHua,WangQian.DepartmentofDigestiveDiseases,SouthernMedicalUniversity,Guangzhou510282,China【Abstract】objectiveToobservetheeficacyofcompoundembryonicbovineliverextracttabletsintreat-mentofpatientswithchronichepatitisB(CHB).MethodsOnehundredandtwentypat
5、ientswithCHBwerere—cruited,anddividedrandomlyintocontrolgroup(n=56)ortreatmentgroup(n=64);Patientsincontrolgroupweretreatedwithbasicliver—protectingtreatmentandpatientsintreatmentgroupweretreatedwithcombinationalther-apyofcompoundembryonicbovineliverextracttabletsandba
6、sictreatment.Changesinliverfunctiontestsandfibroticparameterswereexamedafter3monthsoftreatment.ResultsAttheendof3monthsoftreatment,thefatigueandpoorappetitewereimprovedin92.00%and91.84%,respectively,intreatmentgroup,significantlyhigh—erthanthoseincontrols(56.41%and58.3
7、3%,respectively,P<0.05);theserumAIJT,AST,GGTandtotalbiliru—binlevelsintreatmentgroupwere(35.6~17.2)U/L,(38.5~18.6)U/L,(40.6~19.7)U/Land(16.1~13.9)Ixmol/L,respectively,significantlydecreasedthanthosebeforetreatment[(110.8~61.4)U/LforALT,(97.2~62.4)U/LforAST,(106.3±60.1)
8、U/LforGGTand(47.8~19.3)Ixmol/Lfortotalbilirubin,P