五脂胶囊治疗慢性乙型肝炎肝纤维化疗效观察及对血清TNF-α、IL-6水平的影响
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Observation on Curative Effect of Wuzhi Capsules for Liver Fibrosis Induced by Chronic Hepatitis B and Its Effect on Levels of TNF- α and IL-6 in Serum
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    摘要:

    目的:观察五脂胶囊辅助治疗慢性乙型肝炎肝纤维化的临床疗效及其对血清肿瘤坏死因 子(TNF) -α、白细胞介素(IL) -6 水平的影响。方法:选择慢性乙型肝炎肝纤维化患者78 例,按随机数字 表法分为治疗组与对照组各39 例。对照组给予恩替卡韦分散片治疗,治疗组在对照组的基础上给予五脂胶囊 治疗,疗程均为24 周。比较2 组临床疗效、肝纤维化指标[血清透明质酸(HA)、Ⅲ型前胶原(PCⅢ)、 Ⅳ型胶原(Ⅳ-C)、层黏蛋白(LN)] 及炎症因子(TNF-α、IL-6) 水平变化。结果:治疗组总有效率为 92.31%,明显高于对照组71.79%,组间比较,差异有统计学意义(P<0.05)。治疗前,2 组血清HA、PC Ⅲ、Ⅳ-C、LN 水平比较,差异无统计学意义(P>0.05);治疗后,2 组HA、PCⅢ、Ⅳ-C、LN 均较治疗前明 显降低(P<0.05),且治疗组上述各项指标均明显低于对照组(P<0.05)。治疗前,2 组TNF-α、IL-6 水平比 较,差异无统计学意义(P>0.05);治疗后,2 组血清TNF-α、IL-6 水平均较治疗前明显降低(P<0.05),且 治疗组TNF-α、IL-6 水平均明显低于对照组(P<0.05)。结论:五脂胶囊联合恩替卡韦分散片治疗慢性乙型 肝炎肝纤维化患者,能够显著改善肝纤维化血清学指标,下调炎症因子水平,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Wuzhi Capsules for liver fibrosis induced by chronic hepatitis B and its effect on levels of tumor necrosis factor (TNF)-α and interleukin (IL)-6 in serum. Methods:A total of 78 cases of patients with liver fibrosis induced by chronic hepatitis B were selected and divided into the treatment group and the control group according to the random number table method,with 39 cases in each group. The control group was treated with Entecavir Dispersible Tablets, and the treatment group was additionally treated with Wuzhi Capsules based on the treatment of the control group. Both groups were treated for 24 weeks. The clinical effects as well as the changes in levels of liver fibrosis indexes including hyaluronic acid (HA),type Ⅲ procollagen (PCⅢ),type Ⅳ collagen (Ⅳ-C) and laminin (LN) in serum and inflammatory factors including TNF- α and IL- 6 were compared between the two groups. Results: The total effective rate was 92.31% in the treatment group, significantly higher than that of 71.79% in the control group, the difference being significant (P<0.05). Before treatment, there was no significant difference being found in the comparison of the levels of HA,PCⅢ,Ⅳ-C and LN between the two groups (P>0.05). After treatment, the levels of HA, PC Ⅲ, Ⅳ- C and LN in the two groups were significantly decreased when compared with those before treatment (P<0.05),and the above indexes in the treatment group were significantly lower than those in the control group (P<0.05). Before treatment, there was no significant difference being found in the comparison of the levels of TNF-α and IL-6 between the two groups (P>0.05); After treatment, the levels of TNF- α and IL- 6 in the two groups were significantly decreased when compared with those before treatment (P<0.05), and the levels of TNF- α and IL- 6 in the treatment group were significantly lower than those in the control group (P<0.05). Conclusion:The therapy of Wuzhi Capsules combined with Entecavir Dispersible Tablets for patients with liver fibrosis induced by chronic hepatitis B can significantly improve the serological indexes of liver fibrosis and reduce the levels of inflammatory factors,with a significant clinical effect.

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王思喃,徐复娟,汪丽君,陈土祥.五脂胶囊治疗慢性乙型肝炎肝纤维化疗效观察及对血清TNF-α、IL-6水平的影响[J].新中医,2023,55(4):55-58

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  • 在线发布日期: 2023-02-24
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