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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

门冬氨酸鸟氨酸与多烯磷脂酰胆碱治疗失代偿期 肝硬化的效果

姚佳

西安市蓝田县医院,陕西 西安,710500

浏览次数:119次 下载次数:339次

摘要:

目的 研究门冬氨酸鸟氨酸与多烯磷脂酰胆碱治疗失代偿期肝硬化的临床疗效。方法 选取我院 2014年 10月至 2016年 7月收治的肝硬化失代偿期患者 102例为研究对象,随机分为观察组和对照组,各 51例。两组患者均给予常规治疗;在此基础上,观察组采用冬门氨酸鸟氨酸,对照组采用多烯磷脂酰胆碱。比较两组患者的临床效果。结果 观察组的治疗总有效率为 94.12% ,明显高于对照组的 80.39%(P<0.05);治疗后,两组 TBIL、AST、ALT、PTA、PCⅢ及 C-Ⅳ水平明显优于治疗前,且观察组明显优于对照组(P<0.05)。结论 门冬氨酸鸟氨酸治疗失代偿期肝硬化临床疗效显著,安全性高,值得临床推广。

关键词: 门冬氨酸鸟氨酸;多烯磷脂酰胆碱;代偿期肝硬化

中图分类号:R575.2文献标志码:A文章编号:2096-1413(2018)09-0040-02

    Clinical effect of ornithine aspartate and polyenoic phosphatidylcholine
    in the treatment of decompensatory cirrhosis

     

    YAO Jia
    (theHospitalofLantian County,Xi````an 710500,China)


    ABSTRACT: Objective To study the clinical efficacy of ornithine aspartate and polyenoic phosphatidylcholine in the treatment of decompensatory cirrhosis.  Methods A total of 102 decompensatory cirrhosis patients admitted in our hospital from October 2014 to July 2016 were selected and randomly divided into observation group and control group,with 51 cases in each group.All the patients were treated with routine treatment; based on routine treatment,the observation group received polyenoic phosphatidylcholine, and the control group accepted ornithineaspartate.The clinical effects of the two groups were compared. Results The total effective rate of treatment in the observation group was 94.12% ,which was significantly higher than 80.39% of the control group (P<0.05). After treatment,the levels of total bilirubin (TBIL),alanine aminotransferase(ALT),aspartate aminotransferase(AST),procollagenⅢ (PCⅢ)and collagenⅣ (C-Ⅳof the two groups were better than those before treatment,and those of the observation group were better than the control group (P<0.05).Conclusion Ornithine aspartate has remarkable clinical effects and high safety in the treatment of decompensatory cirrhosis,wihich is worthy of clinical promotion.
    KEYWORDS: aspartate ornithine; polyene phosphatidylcholine; decompensatory cirrhosis


    参考文献:
    [1] 赵治凤,樊晋宇,张光谋.1 400 例肝硬化患者流行病学分析 [J]. 中国卫生检验杂志 ,2016,32(3):414-415.
    [2] 王芸,刘同刚,李云华.门冬氨酸 - 鸟氨酸治疗肝炎后脂肪肝临床疗效分析 [J].临床和实验医学杂志,2013,12(16):1289-1290.
    [3] 陈灏珠,钟南山,陆再英,等. 内科学 [M].8 版.北京:人民卫生出版社,2013:419-428.
    [4] 任丽平,徐军,胡峥.多烯磷脂酰胆碱联合茵栀黄和谷胱甘肽治疗妊娠期肝内胆汁淤积症的研究 [J]. 临床和实验医学杂志 ,2016,15(10):999-1001.
    [5] 金清明.多烯磷脂酰胆碱联合丹参川芎嗪注射液治疗酒精性肝病的临床疗效分析 [J]. 临床医学研究与实践 ,2016,1(6):21.
    [6] 吕勇焕,高旭峰,戴丐国.门冬氨酸钾镁与腺苷蛋氨酸对胆汁淤积性病毒性肝炎的临床疗效研究 [J].中国临床药理学杂志 ,2015,31(22):2202-2204.
    [7] 王慧,张恩.王勇,等.利福昔明联合门冬氨酸鸟氨酸治疗肝硬化肝性脑病的效果观察 [J]. 保健医学研究与实践 ,2017,14(1):51-52.
    [8] 刘艳华,张剑波,薄晓通,等.门冬氨酸鸟氨酸治疗失代偿期肝硬化的疗效观察 [J]. 广西医学 ,2015,37(5):696-697.

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