Effect of sophocarpidine and diammonium glycyrrhizinate injection on hepatic fibrosis and the content of interferon-γ of chronicity type B Hepatitis patients
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摘要: 目的观察苦参碱联合甘草酸二胺注射液对慢性乙肝纤维化及血清干扰素γ(IFN-γ)含量的影响。方法将136例慢性乙型肝炎患者随机分为2组,治疗组72例采用苦参碱联合甘草酸二胺注射液治疗,对照组64例采用拉米夫定治疗,6个月后观察两组患者肝功能、乙肝病毒标志物、肝纤四项及IFN-γ含量的变化。结果与治疗前相比,两组均能显著降低血清ALT、AST、HA、PCⅢ、LN、CⅣ,提高白蛋白/球蛋白比值(A/G),升高血清IFN-γ含量(P<0.01);在降低ALT、AST、HA、PCⅢ、CⅣ方面,治疗组明显优于对照组(P<0.05);对照组HBVDNA阴转率高于治疗组(P<0.05),治疗组HBeAg阴转率优于对照组(P<0.01)。结论苦参碱联合甘草酸二胺注射液可升高血清IFN-γ含量,抑制肝纤维化,同时还可抑制病毒复制,促进HBV复制标志物阴转,降低转氨酶,改善肝功能。Abstract: Objective To study the effect of sophocarpidine and diammonium glycyrrhizinate injection on hepatic fibrosis and the content of IFN-γ in chronic hepatitis B (CHB) patients.Methods A total of 136 CHB patients were randomly divided into two groups.The treatment group (n=72) was given sophocarpidine and diammonium glycyrrhizinate injection, and the control group (n=64) was given Lamivudine PO for 6 months.Liver function tests, HBV serum markers, and hepatic fibrosis indexes and IFN-γ were measured at the end of treatment.Results The level of alanine aminotransferase (ALT) , aspartate amino transferase (AST) , hyaluronic acid (HA) , precollagen Ⅲ (PCⅢ) , laminin (LN) and collogen IV (IV-c) in blood plasma were decreased, the albumin globulin ratio (A/G) and the content of IFN-γ was increased in both groups, after treatment (P<0.01) .The level of ALT, AST, HA, PCⅢ and IV-c showed a significant difference between the two groups (P<0.05) .The HBV DNA negativity was higher in the control than the treatment group (P<0.05) and the HBeAg negativity was lesser in the control group (P<0.01) .Conclusion Sophocarpidine and diammonium glycyrrhizinate injection could increase the content of IFN-γ, decrease liver inflammation, hepatic fibrosis and virus replication, and improves liver function.
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