中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

原发性胆汁性肝硬化的治疗进展

段维佳 尤红

引用本文:
Citation:

原发性胆汁性肝硬化的治疗进展

详细信息
  • 中图分类号: R575.2

Therapy advances in primary biliary cirrhosis

  • 摘要: 原发性胆汁性肝硬化(PBC)是一种慢性肝内胆汁淤积性疾病。熊去氧胆酸(UDCA)是惟一经随机对照临床试验证实的治疗PBC安全有效的药物。经UDCA治疗1年后有较好生化应答的患者,其长期预后较好。目前,对UDCA应答欠佳患者的治疗方法尚不确定。肝移植是治疗终末期PBC患者惟一有效的方法。

     

  • [1]Lindor KD, Gershwin ME, Poupon R, et al.Primary biliary cirrhosis[J].Hepatology, 2009, 50 (1) :291-308.
    [2]European Association for the Study of the Liver.EASL Clinical Practice Guidelines:management of cholestatic liver diseases.[J].J Hepatol, 2009, 51 (2) :237-267.
    [3]Parés A, Caballeíra L, Rodés J, et al.Excellent long-term sur-vival in patients with primary biliary cirrhosis and biochemical response to ursodeoxycholic Acid[J].Gastroenterology, 2006, 130 (3) :715-720.
    [4]Corpechot C, Chazouillères O, Poupon R, et al.Biochemical response to ursodeoxycholic acid and long-term prognosis in primary biliary cirrhosis[J].Hepatology, 2008, 48 (3) :871-887.
    [5]Kuiper EM, Hansen BE, de Vrios RA, et al.Improved prognosis of patients with primary biliary cirrhosis that have a biochemical response to ursodeoxychohc acid[J].Gastroenterology, 2009, 136 (4) :128l-1287.
    [6]Babatin MA, Sanai FM, Swain MG.Methotrexate therapy for the symptomatic treatment of primary biliary cirrhosis patients, who are biochemical incomplete responders to ursodeoxycholic acid therapy[J].Aliment Pharmacol Ther, 2006, 24 (5) :813-820.
    [7]Bonis PA, Kaplan M.Methotrexate improves biochemical tests in patients with primary biliary cirrhosis who respond incompletely to ursodiol[J].Gastroenterology.1999, 117 (2) :395-399.
    [8]Kaplan MM, Bonder A, Ruthazer R, et al.Methotrexate in patients with primary biliary cirrhosis who respond incompletely to treatment with ursodeoxycholic acid[J].Dig Dis Sci, 2010, 55 (11) :3207-3217.
    [9]Rautiainen H, Krkkinen P, Karvonen AL, et al.Budesonide combined with UDCA to improve liver histology in primary biliary cirrhosis:a three-year randomized trial[J].Hepatology, 2005, 41 (4) :747-752.
    [10]Rabahi N, Chrétien Y, Gaouar F, et al.Triple therapy with ursodeoxycholic acid, budesonide and mycophenolate mofetil in patients with features of severe primary biliary cirrhosis not responding to ursodeoxycholic acid alone[J].Gastroenterol Clin Biol, 2010, 34 (4) :283-287.
    [11]Talwalkar JA, Angulo P, Keach JC, et al.Mycophenolate mofetil for the treatment of primary biliary cirrhosis in patients with an incomplete response to ursodeoxycholic acid[J].J Clin Gastroenterol, 2005, 39 (2) :168-171.
    [12]Levy C, Peter JA, Nelson DR, et al.Pilot study:fenofibrate for patients with primary biliary cirrhosis and an incomplete response to ursodeoxycholic acid[J].Aliment Pharmacol Ther, 2011, 33 (2) :235-242.
    [13]Walker LJ, Newton J, Jones DE, et al.Comment on biochemical response to ursodeoxycholic acid and long-term prognosis in primary biliary cirrhosis[J].Hepatology, 2009, 49 (1) :337-338.
    [14]Liberopoulos EN, Florentin M, Elisaf MS, et al.Fenofibrate in primary biliary cirrhosis:a pilot study[J].Open Cardiovasc Med J, 2010, 28 (4) :120-126.
    [15]Iwasaki S, Ohira H, Nishiguchi S, et al.The efficacy of ursodeoxycholic acid and bezafibrate combination therapy for primary biliary cirrhosis:a prospective, multicenter study[J].Hepatol Res, 2008, 38 (6) :557-564.
    [16]Hazzan R, Tur-Kaspa R.Bezafibrate treatment of primary biliary cirrhosis following incomplete response to ursodeoxycholic acid[J].J Clin Gastroenterol, 2010, 44 (5) :371-373.
    [17]Wagner M, Halilbasic E, Marschall HU, et al.CAR and PXR agonists stimulate hepatic bile acid and bilirubin detoxification and elimination pathways in mice[J].Hepatology, 2005, 42 (2) :420-430.
    [18]Awad AS, Kamel R.Effect of rosuvastatin on cholestasis-induced hepatic injury in rat livers[J].J Biochem Mol Toxicol, 2010, 24 (2) :89-94.
    [19]Dold S, Laschke MW, Lavasani S, et al.Simvastatin protects against cholestasis-induced liver injury[J].J Pharmacol, 2009, 156 (3) :466-474.
    [20]Stojakovic T, Putz-Bankuti C, Fauler G, et al.Atorvastatin in patients with primary biliary cirrhosis and incomplete biochemical response to ursodeoxycholic acid[J].Hepatology, 2007, 46 (3) :776-784.
    [21]Rambaldi A, Jacobs BP, Gluud C.Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases[J].Cochrane Database Syst Rev, 2007, 17 (4) :CD003620.
    [22]Angulo P, Patel T, Jorgensen RA, et al.Silymarin in the treatment of patients with primary biliary cirrhosis with a suboptimal response to ursodeoxycholic acid[J].Hepatology, 2000, 32 (2) :897-900.
    [23]Angulo P, Jorgensen RA, Lindor KD.Incomplete response to ursodeoxycholic acid in primary biliary cirrhosis:is a double dosage worthwhile[J].Am J Gastroenterol, 2001, 96 (11) :152-157.
  • 加载中
计量
  • 文章访问数:  2568
  • HTML全文浏览量:  20
  • PDF下载量:  1180
  • 被引次数: 0
出版历程
  • 收稿日期:  2011-02-09
  • 出版日期:  2011-06-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回