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多烯磷脂酰胆碱联合脂必泰治疗非酒精性脂肪性肝病患者的临床研究

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目的 探究治疗非酒精性脂肪性肝病患者采用多烯磷脂酰胆碱联合脂必泰的临床研究。方法 于 2022 年 1 月至 2023 年 8 月选取安阳市人民医院就诊的 98 例非酒精性脂肪性肝病患者,以随机数字表法分为单用组(49 例,多烯磷脂酰胆碱)和联用组(49例,多烯磷脂酰胆碱联合脂必泰),观察两组肝功能、血脂指标、血清二胺氧化酶、D-乳酸、细胞因子水平和治疗效果。结果 联用组治疗后丙氨酸氨基转移酶(ALT)、γ-谷氨酸转肽酶(GGT)及天门冬氨酸氨基转移酶(AST)水平低于单用组,差异有统计学意义(P<0。05);联用组治疗后总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)低于单用组,高密度脂蛋白(HDL)高于单用组,差异具有统计学意义(P<0。05);联用组治疗后血清二胺氧化酶(DAO)、D-乳酸(D-LA)、白细胞介素 6(IL-6)以及肿瘤坏死因子α(TNF-α)水平低于单用组,差异具有统计学意义(P<0。05);联用组治疗有效率高于单用组,差异具有统计学意义(P<0。05)。结论 治疗非酒精性脂肪性肝病患者采取多烯磷脂酰胆碱联合脂必泰可明显改善肝功能及血脂,增强疗效,具有较好的临床应用价值。
Clinical Study on the Treatment of Non-Alcoholic Fatty Liver Disease with Polyene Phosphatidylcholine Combined with Zhibitai
Objective To explore the clinical study of treating non-alcoholic fatty liver disease patients with polyene phosphatidylcholine combined with Zhibitai.Methods From January 2022 to August 2023,98 patients with NAFLD who were treated at Anyang People's Hospital were selected and randomly divided into a monotherapy group(49 cases,polyene phosphatidylcholine)and a combination therapy group(49 cases,polyene phosphatidylcholine combined with Zhibitai).Liver function,blood lipid indicators,serum diamine oxidase,D-lactic acid,cytokine levels,and treatment effects were observed.Results After treatment,the levels of alanine aminotransferase(ALT),gamma-glutamyl transpeptidase(GGT),and aspartate aminotransferase(AST)in the combination therapy group were lower than those in the monotherapy group,with statistically significant differences(P<0.05).The levels of total cholesterol(TC),triglycerides(TG),and low-density lipoprotein(LDL)in the combination therapy group were lower than those in the monotherapy group,while the level of high-density lipoprotein(HDL)was higher than that in the monotherapy group,with statistically significant differences(P<0.05).The levels of serum diamine oxidase(DAO),D-lactic acid(D-LA),interleukin-6(IL-6),and tumor necrosis factor-alpha(TNF-α)in the combination therapy group were lower than those in the monotherapy group,with statistically significant differences(P<0.05).The effective rate of treatment in the combination therapy group was higher than that in the monotherapy group,with statistically significant differences(P<0.05).Conclusion The treatment of NAFLD patients with polyene phosphatidylcholine combined with Zhibitai can significantly improve liver function and blood lipids,enhance the therapeutic effect,and has good clinical application value.

non-alcoholic fatty liver diseasepolyene phosphatidylcholineZhibitai

王婷婷

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安阳市人民医院 消化内科,河南 安阳 455000

非酒精性脂肪性肝病 多烯磷脂酰胆碱 脂必泰

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)