首页|异甘草酸镁与复方甘草酸单铵S治疗药物性肝损伤患者的效果

异甘草酸镁与复方甘草酸单铵S治疗药物性肝损伤患者的效果

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目的:探讨异甘草酸镁与复方甘草酸单铵S用于药物性肝损伤患者治疗的临床疗效和安全性。方法:选取2018年 6 月—2021 年 6 月我院收治的药物性肝损伤患者 86 例,根据患者就医先后顺序编号(1~86 号),其中 1~43 号予以异甘草酸镁治疗设为异甘草酸镁组,44~86 号予以复方甘草酸单铵S治疗设为复方甘草酸单铵S组。比较两组肝功能指标、氧化应激指标、临床疗效及药物不良反应。结果:两组治疗总有效率比较,差异无统计学意义(P>0。05);而异甘草酸镁组显效率为 76。74%,高于复方甘草酸单铵S组的 55。81%(P<0。05);治疗 2 周后,异甘草酸镁组ALT、TBIL水平低于复方甘草酸单铵S组(P<0。05);异甘草酸镁组SOD、NO水平高于复方甘草酸单铵S组(P<0。05);两组不良反应总发生率比较,差异无统计学意义(P>0。05)。结论:异甘草酸镁治疗药物性肝损伤的效果显著,能够有效改善肝功能,减轻机体氧化应激反应,且安全性较高。
Effect of Magnesium Isoglycyrrhizinate and Compound Ammonium Glycyrrhizin S in the Treatment of Patients with Drug-induced Liver Injury
Objective:To investigate the clinical efficacy and safety of magnesium isoglycyrrhizate and compound monomanimonium glycyrrhizate S in the treatment of patients with drug-induced liver injury.Methods:A total of 86 patients with drug-induced liver injury admitted to our hospital from June 2018 to June 2021 were selected and numbered according to the order of patients'medical treatment(No.1-86).Among them,No.1-43 were treated with magnesium isoglycyrrhizinate as magnesium isoglycyrrhizinate group,No.44-86 were treated with compound ammonium glycyrrhetate S as compound ammonium glycyrrhetate S group.The liver function indexes,oxidative stress indexes,clinical efficacy and adverse drug reactions were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).The effective rate of magnesium isoglycyrrhizinate group was 76.74%,which was higher than 55.81%of compound ammonium glycyrrhetate S group(P<0.05).After 2 weeks of treatment,the levels of ALT and TBIL in the magnesium isoglycyrrhizinate group were lower than those in the compound ammonium glycyrrhetate S group(P<0.05).The levels of SOD and NO in magnesium isoglycyrrhizinate group were higher than those in compound ammonium glycyrrhetate S group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Magnesium isoglycyrrhizinate is effective in the treatment of drug-induced liver injury,which can effectively improve liver function and reduce oxidative stress response with high safety.

Drug-induced liver injuryMagnesium isoglycyrrhizinateCompound monoammonium glycyrrhizinate SClinical efficacySecurity

刘兰宏、周双芹、高明贵、李同玉

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兴化市第三人民医院消化内科,江苏 兴化 225700

兴化市第三人民医院大内科,江苏 兴化 225700

药物性肝损伤 异甘草酸镁 复方甘草酸单铵S 临床疗效 安全性

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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