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甲强龙治疗急性胆汁淤积性病毒性肝炎的临床观察 被引量:3

Clinical observation of the effect of methylprednsolone in treating patients with acute cholestasis viral hepatitis
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摘要 目的评价甲强龙对急性胆汁淤积性病毒性肝炎的治疗效果。方法随机将39例急性胆汁淤积性病毒性肝炎患者分为两组。对照组19例,给予常规治疗,治疗组20例,在常规治疗基础上,加用甲强龙80mg静脉滴注,4天后减量为40mg静脉滴注,一日一次,总疗程7天,疗程结束后3天比较两组临床症状和肝功能好转情况。结果治疗组在改善症状、缩短疗程、改善肝功能等方面明显优于对照组,治疗组总有效率为90.0%,而对照组仅为42.1%,两组比较差异有统计学意义(P<0.01),治疗过程中均无明显的不良反应。结论甲强龙对急性胆汁淤积性病毒性肝炎有很好的治疗退黄作用。 Objective To observe the effect of methylprednsolone in treating patients with acute cholesxasis viral hepatitis.Methods 39cases with acute cholestatic viral hepatitis were randomly divided into 2groups.The control group(19patients)got conventional treatment.Based on this therapy,methylprednsolone(80 mg once a day for 4 days),was added to the treatment group(20patients)and methylprednsolone was reduced to 40mg once a day for another 3days.The total treatment course lasted 7days.The clinical symptoms and liverfunction improvement of the 2 groups were compared after treatment in three days.Results The effect of the treatment group was obviously better than that of the control group on improving the symptoms,shortening the course and improving the liver function.The total effective rate of the treatment group was 90.0%,while that of the control group was 42.1%.There was statistical significance in the comparison of the 2groups(P 0.01).There wasn’t significant side effects in the treatment process of both groups.Conclusion The effect of methylprednsolone in treating patients with acute cholesxasis viral hepatitis is satisfactory.
作者 朱洪坤
出处 《右江医学》 2012年第5期625-627,共3页 Chinese Youjiang Medical Journal
关键词 甲强龙 病毒性肝炎 胆汁淤积 黄疸 methylprednsolone viral hepatitis cholesxasis jaundice
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  • 1Heathcote EJ. Diagnosis and management of cholestic liv- erdisease[J]. ClinGastroenterolHepatol, 2007,5 (7) : 776- 782. 被引量:1
  • 2叶维法,钟振义主编..临床肝胆病学[M].天津:天津科学技术出版社,1985:1151.
  • 3病毒性肝炎防治方案[J].传染病信息,2000,13(4):141-150. 被引量:267
  • 4Invernizzi P, Lleo A, Podda M. Interpreting serological tests in diagnosing autoimmune liver diseases[J]. Semin Liver Dis,2007,27(2) : 161-172. 被引量:1
  • 5陈主初主编..病理生理学[M].北京:人民卫生出版社,2001:409.
  • 6Steinberg JL, Yeo W,Zheng S,et al. Hepatitis B virus re- activation in patients undergoing cytotoxic chemotherapy for solid tumours precore/core mutations may play an important role[J]. J Med Virol, 2000,60(3): 249-255. 被引量:1
  • 7Gonzales RA,de la Mata M,de la Torre J,et al. Levels of HBV-DNA and HbsAg after acute liver aUograft rejection treatment by eorticoids and OKT3[J]. Clin Transplant, 2000,14(3) :208-211. 被引量:1

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  • 1许建明.急性药物性肝损伤诊治建议(草案)[J].中华消化杂志,2007,27(11):765-767. 被引量:349
  • 2Watkins PB. Drug safety sciences and the bottleneck in drug development[J]. Clin Pharmacol Ther,2011,89(6):788-790. 被引量:1
  • 3Kwon H,Lee SH,Kim SE,et al.Spontaneously reported hepaticadverse drug events in Korea: muhicenter study.J Korean Med Sci[J],2012,27(3):268-273. 被引量:1
  • 4GrossetJ,LeventiS S.Adverse effects of rifampin[J].Rev Infect DIS,1983(3):440-450. 被引量:1
  • 5Steele MA,Burk RF,DesPrez RM.Toxic hepatitis with isoniazid and rifampin[J].A meta-analysis.Chest, 1991,99(2):465-471. 被引量:1
  • 6Fujiwara K,Yasui S,Okitsu K,et al.The requirement for a sufficient period of eortieosteroid treatment in combination with nucleoside analogue for severe acute exacerbation of ehronic hepatitis B. J Gastroenterolo gy?2010,45(12): 1255-1262. 被引量:1
  • 7Liang X, Bi S, Yang W, et al. Evaluation of the impact of hepatitis Bvaccination among children born between 1992 and 2005 in China[J]. J Infect Dis, 2009, 200(1): 39-47. 被引量:1
  • 8Sarin SK, Kumar A, Almeida JA, et al. Acute-on-chronic liver failure: consensus recommendations of the Asian Pacific Association for the study of the liver(APASL)[J]. Hepatol Int, 2009, 8(4): 269-282. 被引量:1
  • 9Yasman MY, Aziz B, Nazim M, et al. Prealbumin rather than albumin is amore sensitive indicator of acute |ive disease[J]. Malays J Pathol, 1993, 15(2): 147-150. 被引量:1
  • 10吴晓宁,尤红,贾继东.2003—2007年国内药物性肝损伤临床特点文献综合分析[J].肝脏,2008,13(6):463-466. 被引量:79

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