首页|血必净注射液对中晚期肝癌化疗栓塞后综合征的临床疗效和相关机制研究

血必净注射液对中晚期肝癌化疗栓塞后综合征的临床疗效和相关机制研究

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目的 探讨血必净注射液对中晚期肝癌化疗栓塞后综合征(PES)的效果。方法 随机将南昌大学第一附属医院 2022 年 6 月至 2023 年 6 月收治的中晚期肝癌PES患者 90 例分为两组,各 45 例。两组均实施肝动脉化疗栓塞术(TACE),对照组实施内科对症治疗,基于此,观察组加用血必净注射液。比较两组症状持续时间、肝功能及炎症指标。结果 观察组发热、恶心呕吐、肝区疼痛及腹泻持续时间均比对照组短(P<0。05);两组术后 5d的谷丙转氨酶(ALT)、谷草转氨酶(AST)及总胆红素(TBIL)水平均升高,但观察组比对照组低(P<0。05);两组术后 5d的白细胞计数(WBC)、降钙素原(PCT)、C反应蛋白(CRP)及中性粒细胞百分比水平均升高,但观察组比对照组低(P<0。05)。结论 中晚期肝癌PES使用血必净注射液可减轻肝损伤,抑制炎症因子的表达,促进患者恢复。
Clinical Efficacy and Related Mechanisms of Xuebijing Injection in the Treatment of Post Chemoembolization Syndrome in Advanced Liver Cancer
Objective To explore the effect of xuebijing injection on post chemoembolization syndrome(PES)in advanced liver cancer.Methods 90 patients with advanced liver cancer treated with PES in the First Affiliated Hospital of Nanchang University from June 2022 to June 2023 were randomly divided into two groups,with 45 cases in each group.Both groups underwent hepatic artery chemoembolization surgery(TACE),while the control group received symptomatic internal medicine treatment;based on this,the observation group was additionally treated with xuebijing injection.Compare the duration of symptoms,liver function,and inflammatory indicators between two groups.Results The duration of fever,nausea and vomiting,liver pain,and diarrhea in the observation group was shorter than that in the control group(P<0.05);the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),and total bilirubin(TBIL)in both groups increased 5 days after surgery,but the observation group was lower than the control group(P<0.05);the levels of white blood cell count(WBC),procalcitonin(PCT),C-reactive protein(CRP),and neutrophil percentage increased in both groups 5 days after surgery,but the observation group was lower than the control group(P<0.05).Conclusion The use of xuebijing injection in PES for middle to late stage liver cancer can alleviate liver damage,inhibit the expression of inflammatory factors,and promote patient recovery.

Middle to late stage liver cancerPost chemoembolization syndromeXuebijing injectionLiver functionInflammatory indicators

章琦、张文峰、李雷、邓琼

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南昌大学第一附属医院,江西 南昌 330052

中晚期肝癌 化疗栓塞后综合征 血必净注射液 肝功能 炎症指标

江西省中医药管理局科技计划项目

2022A116

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(5)