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摘要: 目的评价左卡尼汀联合多烯磷脂酰胆碱治疗非酒精性脂肪性肝炎的疗效。方法将82例非酒精性脂肪性肝炎患者随机分为两组,试验组41例联合服用左卡尼汀联合多烯磷脂酰胆碱,对照组41例单用多烯磷脂酰胆碱为对照组。疗程均为12周。治疗前后测定血清转氨酶、血脂水平及肝/脾CT比值。结果治疗后试验组血清转氨酶、血脂下降明显,肝/脾CT比值升高显著,与对照组比较差异有统计学意义(P<0.05)。结论左卡尼汀联合多烯磷脂酰胆碱治疗非酒精性脂肪性肝炎具有良好的效果,值得临床应用。Abstract: Objective To evaluate the clinical efficacy of Levocarnitine combined with Polyene Phosphatidylcholine in treatment of nonalcoholic steatohepatitis.Methods A total of 82 patients with nonalcoholic steatohepatitis were selected and divided randomly into two groups..In experiment group, the patients received Levocarnitine combined with polyene Phosphatidylcholine (n=41) for 12 weeks.While in control group the patients received Polyene Phosphatidylcholine oniy (n=41) for 12 weeks.The levels of serum transaminase, blood grease and liver/spleen CT index were measured before and after treatment respectively.Results The levels of serum transaminase and blood grease in experiment group were decreased obviously after treatment.Meanwhile liver/spleen CT index were increased obviously after treatment.There were a significant differece between the two groups (P<0.05) .Conclusion Treatment with Levocarnitine combined with polyene Phosphatidylcholine was an effective remedy for treating nonalcoholic steatohepatitis.It was worth of clinic application.
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[1]Mc Cullough AJ.The clinical features, diagnosis and natural histo-ry of nonalcoholic fatty liver disease[J], Clin Liver Dis, 2004, 8∶521-533. [2]萧树东.胃肠病学和肝病学[M].上海:世界图书出版公司, 2004∶745-752. [3]中华医学会肝脏病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪性肝病诊断标准[J].中华肝脏病杂志, 2003, 11∶71. [4]Day CP, James OF.Steatohepatitis∶a tale of two“hits”[J].Gastroenterology, 1998, 114 (4) ∶842-845. [5]Reda E, lddio SD, Nicola R, et al.The carnitine system and bodycomposition[J].Acta Diabeto, 2003, 40 (suppi 1) ∶S106 S11. [6]蔺小红, 焦莉莉, 徐国宾, 等.肝病患者血清肉碱水平的临床研究[J].中华肝脏病杂志, 2006, 5∶367-368. [7]郑进方, 梁力建.肉毒碱对全胃肠外营养大鼠肝损害的作用[J].中国临床药学杂志, 2001, 1∶12.
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