The effect of ademetionine on patients with drug-induced cholestatic hepatitis
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摘要: 目的探讨腺苷蛋氨酸对药物性淤胆型肝炎的疗效。方法将88例药物性淤疸型肝炎随机分为治疗组46和对照组42例,治疗组在一般保肝治疗基础上加用腺苷蛋氨酸1000毫克溶于5%葡萄糖液250毫升每日1次静点,对照组仅给予一般保肝治疗,疗程均4周。结果治疗2周时,治疗组有效率明显高于对照组,两组间的差异有统计学意义(P<0.05)。治疗4周时,治疗组与对照组的有效率差异无统计学意义(P>0.05),但两组的临床治愈率的差异有统计学意义(P<0.05)。结论腺苷蛋氨酸在治疗药物性淤胆型肝炎上有较好疗效,能较早促进损伤的肝细胞修复、再生以缓解症状、体征及肝功恢复,是目前较理想的治疗药物性淤胆型肝炎的药物。Abstract: Objective To investigate the effect of ademetionine on patients with cholestatic hepatitis induced by drugs.Methods 88 patients with drug induced cholestatic hepatitis were randomly divided into control group (n =42) and treatment group (n=46) .The liver protectant therapy combined with ademetionine 1000 mg in 5% glucose solution of 250 ml were given intravenously per day in treatment group for 4 weeks.The control group received liver protectant therapy only.Results The combined treatment was more effective in the treatment group than the control group after 2 weeks of treatment (P < 0.05) .At the 4th week of treatment there was no significance difference between the two groups (P > 0.05) .However, the recovery rate difference was statistically significant between the two groups (P < 0.05) .Conclusion Ademetionine is effective and safe, in the treatment of patients with drug-induced cholestatic hepatitis, in promoting the liver metabolism and repairing the hepatic cell.
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Key words:
- Ademetionine /
- Cholestatic /
- Hepatitis induced by drugs
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[1]赵龙风.肝病的现代诊断与治疗[M].北京:中国医药科技出版社, 2001∶409. [2]秦树林, 滑立伟.药物性肝病102例临床分析[J].中国新药杂志, 2001, 10 (6) ∶457-459. [3]季慧范, 王永刚.腺苷蛋氨酸治疗慢性肝炎重度和慢性肝炎重型36例疗效观察[J].临床肝胆病杂志, 2003, 19 (2) ∶124. [4]Conales F, Ochoa P, Rins C, et al.Inhibition of glutathiong synthesis in the liver leads o S-adenosyl-L-methionine synthetase reduc-tion[J].Hepatology, 1992, 14 (3) ∶528-533. [5]侯世荣, 唐保元, 林厚基, 等.腺苷蛋氨酸治疗黄疸型病毒性肝炎111例[J].中华传染病杂志, 1999, 12 (2) ∶129-130. [6]Watson WH, Zhao Y, chawla RK.S-adenosylmethionine attenuates the lipopoly saccharide-induced expression of the gene for tumour necrosis factoralpha[J].Biochem J.1999, 342 (1) ∶21-25. [7]刘业云, 史罗明, 龚箐, 等.思美泰治疗药物性肝炎高胆红素血症疗效观察[J].临床医学, 2002, 22 (11) ∶8. [8]Manzillo G, piccinino F, Surrenti C, et al.Multicentre double-blind placebo-controlled study of intravenous and oral S-adenosy-L-methionioe (SAMe) in cholestatic patients with liver disease[J].Drug Invest, 1992, 4 (suppl4) ∶90-100.
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