中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 4
Apr.  2014
Turn off MathJax
Article Contents

Therapeutic efficacy of Ganshuang granules in treatment of hepatic fibrosis

DOI: 10.3969/j.issn.1001-5256.2014.04.008
  • Received Date: 2013-05-23
  • Published Date: 2014-04-20
  • Objective To observe the therapeutic efficacy of Ganshuang granules in the treatment of hepatic fibrosis.Methods Sixty- eight patients with cirrhosis due to chronic hepatitis B (CHB) were divided into experimental group (n = 34) and control group (n = 34) .Both groups received adefovir dipivoxil for 6 months, and the experimental group received Ganshuang granules additionally for 24 weeks.After treatment, the changes in hepatic fibrosis indices including hyaluronic acid (HA) , laminin (LN) , collagen Ⅳ (C Ⅳ) , and precollagen Ⅲ (PC Ⅲ) , as well as liver stiffness value were evaluated by paired t test.Results In the experimental group, the serum levels of HA, LN, C Ⅳ, and PC Ⅲ were significantly decreased by 37.5%, 34.2%, 35.4%, and 39.9%, respectively (t = 2.238, 2.151, 2.148, and 2.198, P < 0.05 for all) , and the liver stiffness value was significantly cut by 40.6% (t = 2.189, P < 0.05) .However, the control group showed no significant changes in these indices.Conclusion For patients with cirrhosis due to CHB, Ganshuang granules can effectively reduce serum markers of hepatic fibrosis and liver stiffness value and have a good therapeutic efficacy in the treatment of hepatic fibrosis.

     

  • loading
  • [1] Chinese Society of Hepatology and Chinese Society of Infectious Diseases, Chinese Medical Association.The guideline of prevention and treatment for chronic hepatitis B (2010 version) [J].J Clin Hepatol, 2011, 27 (1) :Ⅰ-ⅩⅥ. (in Chinese) 中华医学会肝病学分会, 感染病学分会.慢性乙型肝炎防治指南 (2010年版) [J].临床肝胆病杂志, 2011, 27 (1) :Ⅰ-ⅩⅥ.
    [2]ZHAN GQ, ZHENG SJ, XIE XR, et al.Effects ofα-interferon combined with kushenin on hepatic fibrosis indices in patients with chronic hepatitis B and early liver cirrhosis[J].J Clin Hepatol, 2006, 22 (2) :140-141. (in Chinese) 占国清, 郑三菊, 谢杏榕, 等.α-干扰素联合苦参素对慢性乙型肝炎和早期肝硬化患者的肝纤维化指标的影响[J].临床肝胆病杂志, 2006, 22 (2) :140-141.
    [3]YUAN HN, LUO GH, DENG YM, et al.Effects of adefovir dipivoxil combined withγ-interferon on hepatic fibrosis indices in patients with chronic hepatitis B[J].J Clin Hepatol, 2008, 24 (4) :254-255. (in Chinese) 袁海宁, 罗光汉, 邓一呜, 等.阿德福韦酯联合γ-干扰素对慢性乙型肝炎肝纤维化指标的影响[J].临床肝胆病杂志, 2008, 24 (4) :254-255.
    [4]XIE SB, YAO JL, ZHENG SS, et al.The relationship between the levels of serum fibrosis marks and morphometric quantitative measurement of hepatic histological fibrosis[J].Chin J Hepatol, 2000, 8 (4) :203-205. (in Chinese) 谢仕斌, 姚集鲁, 郑树森, 等.血清肝纤维化指标水平与肝组织纤维图像分析的关系[J].中华肝脏病杂志, 2000, 8 (4) :203-205.
    [5]ZHANG QH, ZHANG CR.Effects of Ganshuang granules on serum markers of hepatic fibrosis and liver function in patients with chronic hepatitis B[J].Guangdong Med J, 2011, 32 (1) :118-119. (in Chinese) 张秋红, 张春瑞.肝爽颗粒对慢性乙型肝炎患者肝纤维化血清标志物及肝功能的影响[J].广东医学, 2011, 32 (1) :118-119.
    [6]LIU F, DANG HX, MA JT.Effect of Ganshuang granules on experimental hepatic fibrosis in rats[J].Chin J Integr Tradit West Med Liver Dis, 2005, 15 (5) :286-287. (in Chinese) 刘峰, 党海霞, 马久太.肝爽颗粒对大鼠实验性肝纤维化的影响[J].中西医结合肝病杂志, 2005, 15 (5) :286-287.
    [7]YUE LP, MA H, JIA JD.Effects of Ganshuang Keli on gene and protein expression of collagen I, collagenⅢand tissue inhibitor of metalloproteinase 1 in HSC-T6 cells[J].Chin J Integr Tradit West Med Liver Dis, 2007, 17 (2) :85-87. (in Chinese) 岳兰萍, 马红, 贾继东.肝爽颗粒对HSC-T6细胞ColⅡ、ColⅢ、TIMP1基因及蛋白表达的影响[J].中西医结合肝病杂志, 2007, 17 (2) :85-87.
    [8]FUNG J, LAI CL, BUT D, et al.Prevalence of fibrosis and cirrhosis in chronic hepatitis B:implications for treatment and management[J].Am J Gastroenterol, 2008, 103 (6) :1421-1426.
    [9]MARCELLIN P, ZIOL M, BEDOSSA P, et al.Non-invasive assessment of liver fibrosis by stiffness measurement in patients with chronic hepatitis B[J].Liver Int, 2009, 29 (2) :242-247.
    [10]ZHANG JC, XIONG Q, LI FJ, et al.Application of FibroScan in chronic hepatitis and liver cirrhosis[J].Chin J Integr Tradit West Med Liver Dis, 2010, 20 (5) :301-303. (in Chinese) 张均倡, 熊倩, 黎凤娇, 等.瞬时弹性记录仪Fibroscan在慢性病毒性肝炎及肝硬化中的应用[J].中西医结合肝病杂志, 2010, 20 (5) :301-303.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (3670) PDF downloads(598) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return