壳脂胶囊治疗非酒精性脂肪性肝炎的效果观察

宁惠明; 欧强; 黄玲; 汤群

doi:10.3969/j.issn.1001-5256.2017.01.030

壳脂胶囊治疗非酒精性脂肪性肝炎的效果观察

DOI: 10.3969/j.issn.1001-5256.2017.01.030

上海市第八人民医院感染科

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- 出版日期: 2017-01-20

Clinical effect of Kezhi capsules in treatment of nonalcoholic steatohepatitis

Department of Infectious Diseases, The Eighth People′s Hospital of Shanghai, Shanghai 200235, China

摘要

摘要:
目的观察壳脂胶囊对非酒精性脂肪性肝炎的临床疗效及安全性。方法选取2013年11月-2015年12月于上海市第八人民医院就诊的非酒精性脂肪性肝炎（NASH）患者100例,随机分为治疗组、对照组各50例,分别予壳脂胶囊和多烯磷脂酰胆碱胶囊,疗程24周。观察两组治疗前后肝功能、血脂水平及肝/脾CT值的变化。计量资料组间比较采用两独立样本的t检验,组内比较采用配对样本t检验,计数资料组间比较采用χ2检验。结果两组患者治疗后AST[（49.2±21.7）U/L vs（119.5±44.2）U/L,t=10.0,P<0.01;（52.4±33.1）U/L vs（115.2±48.3）U/L,t=7.6,P<0.01]、ALT[（41.8±14.8）U/L vs（92.8±42.1）U/L,t=8.1,P<0.01;（42.9±16.6）U/L vs（95.3±40.4）U/L,t=8.5,P<0.01]、GGT[（52.3±23.7）U/L vs（168.4±85.9）U/L,t=9.2,P<0.01;（54.8±30.2）U/L vs（177.6±88.7）U/L,...
- 脂肪肝 /
- 壳脂胶囊 /
- 多烯磷脂酰胆碱胶囊 /
- 治疗结果
Abstract:
Objective To investigate the clinical effect and safety of Kezhi capsules in the treatment of nonalcoholic steatohepatitis( NASH). Methods A total of 100 patients with NASH who visited The Eighth People's Hospital of Shanghai from November 2013 to December 2015 were enrolled and randomly divided into treatment group and control group,with 50 patients in each group. The patients in the treatment group were treated with Kezhi capsules and those in the control group were treated with polyene phosphatidylcholine capsules. The course of treatment was 24 weeks for each group. The changes in liver function,blood lipid,and liver / spleen CT ratio after treatment were observed in both groups. The two- independent- samples t test was used for comparison of continuous data between groups,and the paired- samples t test was used for comparison of continuous data within each group. The chi- square test was used for comparison of categorical data between groups. Results After treatment,the treatment group and the control group had significant improvements in the levels of aspartate aminotransferase( 49. 2 ± 21. 7 U / L vs 119. 5 ± 44. 2 U / L,t = 10. 0,P < 0. 01; 52. 4 ± 33. 1 U / L vs 115. 2 ± 48. 3 U / L,t = 7. 6,P < 0. 01),alanine aminotransferase( 41. 8 ± 14. 8 U / L vs 92. 8 ± 42. 1 U / L,t = 8. 1,P < 0. 01; 42. 9 ± 16. 6 U / L vs 95. 3 ± 40. 4 U / L,t = 8. 5,P < 0. 01),gamma- glutamyl transpeptidase( 52. 3 ± 23. 7 U / L vs 168. 4 ± 85. 9 U / L,t = 9. 2,P < 0. 01; 54. 8 ± 30. 2 U / L vs177. 6 ± 88. 7 U / L,t = 9. 3,P < 0. 01),triglyceride( TG)( 1. 78 ± 1. 01 mmol / L vs 3. 52 ± 2. 35 mmol / L,t = 4. 8,P < 0. 01; 2. 51 ±1. 08 mmol / L vs 3. 65 ± 2. 43 mmol / L,t = 3. 0,P = 0. 02),total cholesterol( TC)( 3. 81 ± 1. 28 mmol / L vs 6. 13 ± 5. 22 mmol / L,t =3. 0,P = 0. 02; 3. 63 ± 1. 39 mmol / L vs 5. 27 ± 4. 54 mmol / L,t = 2. 6,P = 0. 03),and liver / spleen CT ratio( 0. 94 ± 0. 16 vs 0. 74 ±0. 18,t = 5. 8,P < 0. 01; 0. 89 ± 0. 13 vs 0. 70 ± 0. 20,t = 5. 6,P < 0. 01). There were significant differences in these parameters between the two groups. At the end of treatment,the treatment group had significantly greater reductions in TC and TG levels than the control group( t = 3. 5 and 2. 8,both P < 0. 01). Conclusion Kezhi capsules can effectively improve liver function,reduce blood lipids,and reduce the degree of fatty degeneration of the liver,without significant toxic and side effects.
- fatty liver /
- Kezhi capusule /
- polyene phosphatidylcholine capusule /
- treatment outcome

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