Clinial efficacy of kwoninone in the treatment hepatic fibrosis with hepatitis B virus
-
摘要: 观察苦参素治疗乙肝所致肝纤维化的作用。苦参素治疗肝纤维化患者前后检测血清肝纤维化四项指标与乙肝病毒标志物 ,并与γ -干扰素对照。LN、HA、Pc -Ⅲ、Ⅳ -C在苦参素治疗前后有显著性差异 (P <0 0 1,P<0 0 5 ) ;与γ -干扰素组比较无显著差异 (P <0 5 ,P <0 2 5 ) ,说明两者疗效相仿。苦参素治疗组HBsAg、HBeAg与HBV -DNA转阴率分别是 3 3%、2 2 8%、2 0 0 % ,略低于γ -干扰素组 ,但两组比较无显著性差异 (P >0 5 ,P >0 75 )。苦参素是治疗肝纤维化与抗乙肝病毒有效的药物之一Abstract: To study clinical efficacy of kwoninone in the treatment patients with hepatic fibrosis and hepatitis B virus. Sixty patients were divided randomly into the treated group (kwoninone, 30 cases) and the controlled group (γ-interferon, 30 cases) . Four marks of hepatic fibrosis (laminin、hyaluronic acid、type Ⅲ procollagen peptide、type Ⅳ collagen) and markers of hepatitis B virus (HBsAg、HBeAg and HBV-DNA) were determined before and after treatment. Four marks of hepatic fibrosis were obviously reduced in two groups after treatment. No different significantly was found between two groups (P<0.5, P<0.25) . The result showed that the two drugs have the same curative effect in the treatment patients with hepatic fibrosis. HBsAg、HBeAg、HBV-DNA negative conversion rats of the treated group were 3.3%、22.8%、20.0% respectively. They were slightly lower than that in the controled group. The negative conversion rats of the two groups were not different significantly (P>0.5, P>0.75) . Kwoninone may be of clinical practical value in treatment hepatic fibrosis and anti-hepatitis B virus.
-
Key words:
- kwoninone /
- γ-interferon /
- hepatic fibrosis /
- hepatitis B virus
-
[1]LeeHS , HuangGT , ChenCH , etal.Lessreversalofliverfibrosisafterprolongedcarbontetrachlorideinjection[J].Hepatogastroenterology, 2001, 48 (41) ∶1312-5. [2]李丹, 王平全, 张楠森.苦参碱类生物碱的研究进展及临床应用[J].中草药, 1996, 27∶308-311. [3]李继强, 陆伦根, 华静, 等.氧化苦参碱对大鼠肝星状细胞增殖的影响[J].上海医学, 1999, 22 (10) ∶598-599. [4]朱大梁, 宋健, 张兴荣.苦参素对成纤维细胞增殖、形态学及转移生长因子β1的影响[J].中国新药与临床杂志, 2000, 19 (6) ∶238-240. [5]陈小松, 王国俊, 蔡雄, 等.氧化苦参碱对乙型肝炎病毒转基因小鼠乙肝抗原表达的影响[J].第二军医大学学报, 1999, 20 (10) ∶746-748. [6]蔡雄, 王国俊, 瞿瑶.氧化苦参碱注射液对慢性乙型肝炎的疗效观察[J].第二军医大学学报, 1997, 18 (1) ∶47-49.
本文二维码
计量
- 文章访问数: 2321
- HTML全文浏览量: 17
- PDF下载量: 806
- 被引次数: 0