首页|胆红素吸附联合血浆置换治疗肝脓肿患者的临床研究

胆红素吸附联合血浆置换治疗肝脓肿患者的临床研究

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目的 探索胆红素吸附联合血浆置换在肝脓肿患者中的治疗效果,为该疾病的临床治疗提供有效证据支持.方法 选取2020年10月至2024年2月在江苏省无锡市江南大学附属医院重症医学科接受治疗的肝脓肿患者为研究对象,检测患者入院时及治疗14 d后次日的肝功能指标,并测定静脉血中的白细胞介素-6(IL-6)、IL-1、肿瘤坏死因子α(TNF-α)的表达,分析胆红素吸附治疗策略在肝脓肿治疗中的效果.结果 本研究共纳入40例符合入选标准的患者,随机分为试验组和对照组,各20例.试验组患者的肝功能指标改善优于对照组(P<0.05);IL-6、IL-1、TNF-α的表达水平低于对照组2组比较差异具有显著统计学意义(P<0.05).结论 胆红素吸附有助于患者肝功能恢复和炎症反应降低,有助于缩短肝功能恢复过程,在肝脓肿临床治疗中表现出优势.
Liver Abscess Treatment by Bilirubin Adsorption Combined with Plasma Exchange
Objective To evaluate the efficacy of bilirubin adsorption (BA) combined with therapeutic plasma exchange in the treatment of hepatic abscess,providing effective evidence-based support for clinical practice. Methods Eligible liver abscess patients treated at Jiangnan University Affiliated Hospital from October 2020 to February 2024 were enrolled. Liv-er function was measured at admission and on the day after 14 days of treatment,and the expression levels of IL-6,IL-1,and TNF-α in venous blood were also measured. The effect of bilirubin adsorption therapy was analyzed. Results A total of 40 eligible patients were included and randomly divided into an observation group and a control group,with 20 patients in each group. The improvement in liver function indicators in the observation group was significantly better than in the control group (P<0.05). The expression levels of inflammatory factors,including IL-6,IL-1,and TNF-α,were significantly lower in the ob-servation group than in the control group (P<0.05). Conclusion Bilirubin adsorption is beneficial for liver function recovery and reducing inflammatory responses,and helps shorten the liver function recovery time.

Bilirubin adsorptionPlasma exchangeLiver abscessLiver function

胡泊、周非凡、葛佳奇、王寅

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214125 江苏 无锡,江苏省无锡市江南大学附属医院重症医学科

胆红素吸附 血浆置换 肝脓肿 肝功能

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(5)