首页|丁二磺酸腺苷蛋氨酸联合熊去氧胆酸治疗原发性胆汁性胆管炎的效果及对氧化应激指标的影响

丁二磺酸腺苷蛋氨酸联合熊去氧胆酸治疗原发性胆汁性胆管炎的效果及对氧化应激指标的影响

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目的 研究丁二磺酸腺苷蛋氨酸联合熊去氧胆酸治疗原发性胆汁性胆管炎(PBC)的效果及对氧化应激指标的影响。方法 选取2017 年5月至 2022 年5 月在我院接受治疗的100 例PBC患者为研究对象,根据随机数字表法将其分为对照组和观察组,每组50 例。对照组采用熊去氧胆酸治疗,观察组采用丁二磺酸腺苷蛋氨酸联合熊去氧胆酸治疗。比较两组的肝功能指标、炎症和氧化应激指标、临床疗效及不良反应发生情况。结果 治疗后,观察组的总胆红素(TBiL)、总胆汁酸(TBA)、丙氨酸氨基转移酶(ALT)、碱性磷酸酶(ALP)以及天冬氨酸氨基转移酶(AST)水平明显低于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的白细胞介素-12(IL-12)、磷脂转运蛋白(PLTP)、丙二醛(MDA)水平低于对照组,差异具有统计学意义(P<0。05)。观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0。05)。两组的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 丁二磺酸腺苷蛋氨酸联合熊去氧胆酸治疗PBC的效果理想,可明显改善肝功能,抑制机体氧化应激反应。
Effect of adenosylmethionine succinate combined with ursodeoxycholic acid in the treatment of primary biliary cholangitis and its influences on oxidative stress indexes
Objective To study the effect of adenosylmethionine succinate combined with ursodeoxycholic acid in the treatment of primary biliary cholangitis(PBC)and its influences on oxidative stress indexes.Methods A total of 100 patients with PBC who were treated in our hospital from May 2017 to May 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 50 cases in each group.The control group was treated with ursodeoxycholic acid,and the observation group was treated with adenosylmethionine succinate combined with ursodeoxycholic acid.The liver function indexes,inflammation and oxidative stress indexes,clinical efficacy and adverse reactions were compared between the two groups.Results After treatment,the levels of total bilirubin(TBiL),total bile acid(TBA),alanine amiotransferase(ALT),alkaline phosphatase(ALP)and aspartate aminotransferase(AST)in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of interleukin-12(IL-12),phospholipid transfer protein(PLTP)and malondialdehyde(MDA)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The adenosylmethionine succinate combined with ursodeoxycholic acid in the treatment of PBC has ideal effect,which can significantly improve liver function and inhibit oxidative stress.

adenosylmethionine succinateursodeoxycholic acidprimary biliary cholangitisoxidative stress index

马晓阳、朱海林、侯龙辉

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宝鸡市中心医院肝胆外科,陕西 宝鸡,721000

丁二磺酸腺苷蛋氨酸 熊去氧胆酸 原发性胆汁性胆管炎 氧化应激指标

宝鸡市卫生健康委科研项目

2020-003

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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