Clinical observation on treatment of chronic hepatitis B with combination of matrine and diammonium glycyrrhizinate.
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摘要: 观察苦参碱联合甘利欣治疗慢性乙型肝炎的疗效。 80例住院患者随机分为对照组和治疗组 ,每组各 4 0例。对照组给甘利欣及常用护肝药物。治疗组在对照组基础上联用苦参碱 15 0mg/日 ,加入葡萄糖液中滴注 ,疗程两组均为 10 - 2 0天。结果对照组与治疗组治疗 10天及 2 0天后 ,临床总有效率分别为 6 2 5 %、72 5 %及 70 0 %、85 0 %两组间无显著差异 ;但肝功能TBil在治疗 10天时两组分别为 (6 6 0 6± 88 5 0 )及 (31 5 8± 33 5 1) (t=2 2 0 ,P <0 0 5 ) ;乙肝病毒HBsAg及 /或HbeAg转阴两组分别为 2 5 %、15 0 % ,二者有显著差异。苦参碱联合甘利欣确能改善肝功 ,抑制HBV复制 ,是治疗慢性乙肝的有效联合。Abstract: To observe the curative effect of chronic hepatitis B with matrine and diammonium glycyrrhizinate, 80 cases were divided into control group and treatment group (each group 40 cases) . The control group was treated with common lever protecting medicines such as diammonium glycyrrhizinate, kalii magnesii aspartatis etc. The treatment group was treated also with matrine 150mg/d Vgett for 10-20 days. The total clinical efficiency rates in both groups after treatment for 10-20 days were 25/40 (62.5%) , 20/40 (72.5%) and 28/40 (70.0%) , 34/40 (85.0%) respectively. There were no significant different. The TBil of liver function test of groups after treatment for 10 days were 66.06±88.50 and 31.58±33.51μmol/L (t=2.20 P<0.05) . The HBsAg and / or HBeAg terning negetive rative rates were 1/40 (2.5%) and 6/40 (15.0%) in this groups, There were significant different. This paper indicated the treatment of chronic hepatitis B with combination of matrine and diammonium glycyrrhizinate is more effective than with only diammonium glycyrrhizinate.
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Key words:
- chronic hepatitis B /
- Matrine /
- Diammonium glycyrrhizinate
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