首页|八宝丹胶囊保护肝癌切除术后肝功能的随机对照研究

八宝丹胶囊保护肝癌切除术后肝功能的随机对照研究

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目的:探讨八宝丹胶囊对肝癌切除术后肝功能的保护作用.方法:40 名肝癌切除术后患者随机分为八宝丹组和对照组,八宝丹组患者从术后第1 天开始给予口服八宝丹胶囊,观察两组患者体温、血常规、凝血功能、肝功能、胸腹水、ECOG评分、术后住院天数以及住院总费用等变化.结果:八宝丹组患者在术后总胆红素(第7 天及峰值)、直接胆红素(第7 天及峰值)、谷丙转氨酶(第7 天)、谷草转氨酶(第7 天)、体温(第7 天)、白细胞(第7 天)、中性粒细胞百分比(第7 天)、白蛋白(第7 天及谷值)、中大量胸水发生率、术后住院天数以及住院总费用等均较对照组显著降低(P<0.05),中大量腹水发生率、凝血酶原时间、凝血酶原活动度和术后第7 天ECOG评分是否恢复0-1 分评价则两组未见显著性差异(P>0.05).结论:八宝丹胶囊可促进肝切除术后肝脏解毒代谢功能恢复及减轻肝细胞术后损伤,其作用机制可能与抑制肝脏术后急性炎症反应有关,而对肝脏合成功能以及凝血系统功能可能无直接影响.
Babao Dan protect liver function for hepatectomy:a randomized trail
Objective:To investigate the protective effect of Babao Dan on liver function after resection.Methods:Forty patients after hepatectomy were randomly divided into the Babaodan group and the control group and were given oral Babaodan capsules and blank control observation from the first postoperative day,respectively.Results:Total bilirubin(day seven and peak),direct bilirubin(day seven and peak),ghrelin(day seven),ghrelin(day seven),body temperature(day seven),white blood cells(day seven),neutrophil percentage(day seven),albumin(day seven and trough),the incidence of moderate to massive pleural fluid,postoperative hospitalization days and total hospitalization cost were significantly lower in the octopod group compared with the control group were significantly lower(P<0.05).The incidence of moderate and large amounts of ascites,prothrombin time,prothrombin activity,and whether the ECOG score returned to 0-1 on postoperative day seven were not significantly different between the two groups(P>0.05).Conclusion:Babaodan can promote the recovery of hepatic detoxification and metabolic function after hepatectomy and reduce the postoperative damage of hepatocytes.Its mechanism of action may be related to the inhibition of acute inflammatory response in the liver after hepatectomy,while it may have no direct effect on hepatic synthetic function and coagulation system function.

Babao Danhepatectomypost-surgical complicationsprevention and control

李叶晟、陆云飞、杨宗国、陈晹、刘娇、张猛、陈晓蓉、黄杨卿

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上海市(复旦大学附属)公共卫生临床中心肝胆外科(上海,201508)

复旦大学附属肿瘤医院肝脏外科

上海市(复旦大学附属)公共卫生临床中心中医科

八宝丹胶囊 肝切除术 手术后并发症 预防和控制

上海市公共卫生临床中心院级项目

KY-GW-2020-06

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(3)
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