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Effects of Fufang Biejia Ruangan Pills on hepatic fibrosis in vivo and in vitro 被引量:25
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作者 Feng-Rui Yang Bu-Wu Fang Jian-Shi Lou 《World Journal of Gastroenterology》 SCIE CAS 2013年第32期5326-5333,共8页
AIM:To explore the protective effect and the relevant mechanisms of Fufang Biejia Ruangan Pills(FFBJRGP)on hepatic fibrosis in vivo and in vitro.METHODS:Hepatic fibrosis was induced by carbon tetrachloride composite f... AIM:To explore the protective effect and the relevant mechanisms of Fufang Biejia Ruangan Pills(FFBJRGP)on hepatic fibrosis in vivo and in vitro.METHODS:Hepatic fibrosis was induced by carbon tetrachloride composite factors.Adult Wistar rats were randomly divided into four groups:normal control group;hepatic fibrosis model group;FFBJRGP-treated group at a daily dose of 0.55 g/kg;and colchicinetreated group at a daily dose of 0.1 g/kg.The effects of FFBJRGP on liver function,serum levels of hyaluronic acid(HA),typeⅣcollagen(CⅣ),typeⅢprocollagen(PCⅢ),laminin(LN),histopathology,and expression of transforming growth factor(TGF-β1)and Smad3 in hepatic fibrosis were evaluated in vivo.The effects of FFBJRGP on survival rate,hydroxyproline content and cell cycle distribution were further detected in vitro.RESULTS:Compared with the hepatic fibrosis model group,rats treated with FFBJRGP showed a reduction in hepatic collagen deposition and improvement in hepatic lesions.Compared with those of the model group,the activities of alanine aminotransferase(62.0±23.7 U/L)and aspartate aminotransferase(98.8±40.0 U/L)in the FFBJRGP-treated group were decreased(50.02±3.7 U/L and 57.2±30.0 U/L,respectively,P<0.01).Compared with those in the model group,the levels of PCⅢ(35.73±17.90 g/mL),HA(563.82±335.54 ng/mL),LN(89.57±7.59 ng/mL)and CⅣ(29.20±6.17ng/mL)were decreased to 30.18±9.41,456.18±410.83,85.46±7.51 and 28.02±9.45 ng/mL,respectively.Reverse-transcriptase polymerase chain reaction and Western blotting also revealed that expression of TGF-β1 and Smad3 were down-regulated in vivo.Cell proliferation was inhibited,the level of hydroxyproline was decreased compared with the control group(P<0.01),and the cell cycle was redistributed when exposed to FFBJRGP in vitro.CONCLUSION:FFBJRGP inhibits hepatic fibrosis in vivo and in vitro,which is probably associated with downregulation of fibrogenic signal transduction of the TGF-β-Smad pathway. 展开更多
关键词 Fufang biejia Ruangan PILL HEPATIC FIBROSIS TRANSFORMING growth factor-Smad signaling
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Influence of BOL on hyaluronic acid,laminin and hyperplasia in hepatofibrotic rats 被引量:9
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作者 Li Yao~1 Zhen-Min Yao~2 Tao Yu~2 1 Pharmacology Department of Zhejiang College of Traditional Chinese Medicine(TCM),Hangzhou 310053,Zhejiang Province,China2 Basic Medicine Department of Zhejiang College of TCM,Hangzhou 310053,Zhejiang Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第6期872-875,共4页
AIM: To study the anti-hepatofibrosis mechanism of Bie Jia Jian oral liquid (BOL). METHODS: The model was induced by subcutaneous injection of CCl(4). BOL was administered and the change of serum hyaluronic acid (HA) ... AIM: To study the anti-hepatofibrosis mechanism of Bie Jia Jian oral liquid (BOL). METHODS: The model was induced by subcutaneous injection of CCl(4). BOL was administered and the change of serum hyaluronic acid (HA) and laminin (LN) was observed and the degeneration of liver cells and the degree of fibre hyperplasia analyzed. Changes of ultra micro-structure in liver cells were observed in some samples. RESULTS: HA was reduced in both the groups with low and high dosage of BOL, which showed a remarkable difference as compared with that of the model group (low dosage group: 376.15 microg/L+/-35.48 microg/L vs 806.07 microg/L+/-98.49 microg/L P【0.05; high dosage group: 340.14 microg/L+/-30.18 microg/L vs 806.07 microg/L+/-98.49 microg/L P【0.05). The LN content of low and high dosage group of BOL was lower than that of model group (low dosage group: 71.99 microg/L+/-8.15 microg/L vs 133.94 microg/L+/-14.45 microg/L P 【0.01; high dosage group: 71.68 microg/L+/-11.62 microg/L vs 133.94 microg/L+/-14.45 microg/L P【0.01) and colchicine group (low dosage group: 71.99 microg/L+/-8.15 microg/L vs 118.28 microg/L+/-16.13 microg/L P 【 0.05; high dosage group: 71.68 microg/L+/-11.62 microg/L vs 118.28 microg/L+/-16.13 microg/L P 【0.05). Examined by Ridit, BOL could reduce the degeneration and necrosis of liver cells (chi(2)=11.99 P【0.05), the degree of fibre hyperplasia (chi(2)=13.24 P【0.05) and the pathological change of ultra micro-structure as well. CONCLUSION: The BOL has certain therapeutic effect on the experiment hepatofibrosis. Its mechanisms might include: protecting the function of liver cells, inhibiting excessive synthesis and secretion of extracellular matrix from hepatic stellate cells, relieving the capillarization of hepatic sinusoid, improving liver micro-circulation, and regulating immune function. 展开更多
关键词 Medicine Chinese Traditional ANIMALS Hyaluronic Acid HYPERPLASIA LAMININ Liver Cirrhosis RATS Rats Sprague-Dawley
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鳖甲的生药学研究 被引量:9
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作者 李军德 徐海宁 +2 位作者 赵丽云 马淑云 姜凤梧 《中国中药杂志》 CAS CSCD 北大核心 1996年第9期518-522,共5页
中药鳖甲的动物来源复杂,今对来源于不同属的3种动物的鳖甲,进行了药材性状、粉末特征及显微组织结构的研究,并提供了它们的鉴别特征。
关键词 鳖甲 药材性状 显微特征 生药学
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Effects of Biejia Ruangan Tablet(复方鳖甲软肝片)-Containing Serum on Matrix Metalloproteinase-9 and Tissue Inhibitor of Metalloproteinase-1 Expression in Cultured Renal Interstitial Fibroblasts 被引量:6
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作者 周瑾 陈香美 +3 位作者 刘述文 付博 洪权 王书娟 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2015年第2期152-156,共5页
Objective: To investigate the effects of Biejia Ruangan Tablet (复方鳖甲软肝片, BRT)- containing serum on the expression of matrix metalloproteinase (MMP-9) and tissue inhibitor of metalloproteinase (TIMP-1) in... Objective: To investigate the effects of Biejia Ruangan Tablet (复方鳖甲软肝片, BRT)- containing serum on the expression of matrix metalloproteinase (MMP-9) and tissue inhibitor of metalloproteinase (TIMP-1) in cultured renal interstitial fibroblasts. Methods: Different BRT-containing sera were prepared by gastric gavages to rats with the high-dose (7 g/kg), mid-dose (3.5 g/kg), and low-dose (1.75 g/kg) BRT respectively. The expression of extracellular matrix in NRK-49F cells was induced by treatment with human transforming growth factor-β1 (recombined human TGF-β 1), and BRT-containing serum. Western blotting and Northern blotting were used to measure type I and III procollagen, MMP-9, and TIMP-1. Results: The high dose BRT-containing serum could decrease the type Ⅰ and Ⅲ procollagen gene expression which boosted by TGF- 13 1, at the same time cut down TIMP-1 protein and gene expression which increased by TGF- β1 (P〈0.05). Treatment of cells with recombined human TGF-β 1 had no significant effect on MMP-9 expression and BRT- containing serum also had no effect on MMP-9 expression. Conclusions: High dose BRT has anti-fibrosis effects in NRK-49F cells, as indicated by its inhibition of type Ⅰ and Ⅲ procollagen and TIMP-1 expression. 展开更多
关键词 renal interstitial fibroblasts biejia Ruangan Tablet type and procollagen matrix metalloproteinase -9 tissue inhibitor of metalloproteinase -1
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复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎肝纤维化患者的临床分析 被引量:5
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作者 张昊 郝秀丽 《中外医疗》 2017年第1期119-121,共3页
目的探讨复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎肝纤维化患者的疗效。方法方便选择2014年2月—2015年3月该院收治的慢性乙型肝炎肝纤维化患者64例。其中观察组32例采用复方鳖甲软肝片联合恩替卡韦治疗,对照组仅采用恩替卡韦治疗。... 目的探讨复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎肝纤维化患者的疗效。方法方便选择2014年2月—2015年3月该院收治的慢性乙型肝炎肝纤维化患者64例。其中观察组32例采用复方鳖甲软肝片联合恩替卡韦治疗,对照组仅采用恩替卡韦治疗。比较两组患者治疗前后血清ALT、AST、透明质酸、粘连蛋白及Ⅲ型前胶原含量。结果治疗后,观察组血清ALT[(42.4±14.6)U/L vs(55.8±17.7)U/L]、AST[(34.3±12.2)U/L vs(43.2±13.5)U/L]、透明质酸[(95.6±28.6)ng/m L vs(128.2±25.7)ng/m L]、粘连蛋白[(102.6±21.4)ng/m L vs(125.3±24.6)ng/m L]均低于对照组,差异有统计学意义(P<0.05)。结论复方鳖甲软肝片联合恩替卡韦可有效改善慢性乙型肝炎肝纤维化患者的肝功能,降低肝纤维化相关细胞因子水平。 展开更多
关键词 慢性乙型肝炎 肝纤维化 鳖甲 恩替卡韦
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Experimental Study on Effect of Compound Biejia Ruangan Prescription (复方鳖甲软肝方) on High Resolution Computerized Tomographic Images in Bleomycin Induced Pulmonary Fibrosis Rats 被引量:2
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作者 张东伟 王继峰 +2 位作者 牛建昭 高宝华 李贡宇 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第4期270-275,共6页
Objective: To study the therapeutic effect of Com pound Biejia Ruangan prescription (CBRP) on rat model with pulmonary fibrosis in duced by bleomycin. Methods: Fifty four male Sprague Dawley rats were rando mly divide... Objective: To study the therapeutic effect of Com pound Biejia Ruangan prescription (CBRP) on rat model with pulmonary fibrosis in duced by bleomycin. Methods: Fifty four male Sprague Dawley rats were rando mly divided into 6 groups (9 rats in each group). From the first day to the 28th day of the experiment, except to those in the sham model control group that were treated with normal saline, the same amount of bleomycin injection as the n ormal saline given to the control group was given through endotracheal instillat ion to all the rats in all the other groups. From the 29th day of the modeling, CBRP solution of different dosages was respectively injected into the rats in th e high, moderate and low CBRP dose group, while equal volume of normal saline w as given to those in the sham model control group and the model control group , and an equal volume of prednisone solution was given to rats in the prednisone group. On the 80th day, the high resolution computerized tomographic (HRCT) images were observed on an equal footing, and HRCT pathology was correlativel y studied. Results: Different HRCT pathological changes were shown in th e rats with pulmonary fibrosis, such as lung consolidation, thickening of interl obular septum and interlobular mesenchyma as well as lobular deformation, nodule shadow, abnormal brochiovascular tract, thickened pleura with irregular junctio n and polished glass like dense shadows. Honeycomb lung was observed in some cases. Pathological sections showed fibrotic proliferation of lung tissues and noticeable pulmonary interstitial fibrosis. CBRP could improve HRCT images of rats with pulmonary fibrosis, and lower fibrotic p roliferation of the lung tissue.Conclusion: CBRP plays its therapeutic role possibly through its effect on the structure of the lung in rats with pulmonary fibrosis. 展开更多
关键词 Compound biejia Ruangan prescription rat s pulmonary fibrosis high resolution computerizd tomography
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Effects of novel Fufang Biejia Ruangan Tablets with sheep placenta as substitute for Hominis Placenta on CCl4-induced liver fibrosis 被引量:4
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作者 Baode Shen Li Deng +5 位作者 Yuan Liu Ruisheng Li Chengying Shen Xiao Liu Yinchao Li Hailong Yuan 《Chinese Herbal Medicines》 CAS 2022年第1期104-110,共7页
Objective:Fufang Biejia Ruangan Tablet(FBRT) is widely used for the treatment of liver fibrosis.However,Hominis Placenta(HP),as an important adjuvant of FBRT,has been restricted for medicinal using due to the limited ... Objective:Fufang Biejia Ruangan Tablet(FBRT) is widely used for the treatment of liver fibrosis.However,Hominis Placenta(HP),as an important adjuvant of FBRT,has been restricted for medicinal using due to the limited availability,ethical controversy and safety issues.The present study aimed to investigate the therapeutic effects of novel FBRT(N-FBRT) with sheep placenta(SP) as substitute for HP on liver fibrosis and explore its possible mechanisms.Different dosages of SP in N-FBRT were also evaluated.Methods:Rats were subcutaneously injected with CCl_(4)to induce liver fibrosis and then treated with NFBRT and FBRT.The anti-hepatic fibrosis effect was determined based on biomarkers analysis of liver function and hepatic fibrosis,and the liver pathology was visualized by H&E staining and Masson staining.The oxidative stress and inflammatory cytokines were also detected.Immunohistochemical staining of a-SMA,real time PCR and Western blotting were performed to evaluate hepatic stellate cells(HSCs)activation and TGF-β1/Smad signaling pathway.Results:N-FBRT and FBRT could ameliorate CCl_(4)-induced liver fibrosis and improve liver function,as evidenced by lowering serum biomarkers levels of liver function and hepatic fibrosis,and decreasing hepatic Hyp content and collagen deposition,and improving the hepatic morphology and architecture changes.Moreover,the anti-liver fibrosis effect was better when the dosage of SP used in N-FBRT was 1/2 of HP in FBRT.Administration of N-FBRT markedly alleviated oxidative stress and inflammatory cytokines,and inhibited a-SMA expression.Furthermore,the mRNA expression of Col Ⅰ,Col Ⅲ,a-SMA and TGF-β1,and proteins expression of a-SMA,TGF-β1,Smad2/3 and p-Smad2/3 were significantly down-regulated by N-FBRT treatment.Conclusion:SP can be used as substitute for HP to prepare N-FBRT for the treatment of liver fibrosis and the anti-liver fibrosis effect of N-FBRT is achieved by eliminating oxidative stress and inflammation,and inhibiting HSCs activation and ECM production by blocking T 展开更多
关键词 Fufang biejia Ruangan Tablet Hominis Placenta liver fibrosis sheep placenta SUBSTITUTE TGF-β1/Smad signaling pathway
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试析北魏司州纲纪任职者特征
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作者 王馨卉 《保定学院学报》 2024年第6期84-91,共8页
北魏司州别驾、治中二职为州牧之下最重要僚佐,可被称为“司州纲纪”,承担辅佐长官治理司州之任,权责甚重,非一般人所能担任。任此二职者多为当时本州郡名门士族,且需具有一定的治理才能与品学修养。此外,此二职品级较高,多作为士人任... 北魏司州别驾、治中二职为州牧之下最重要僚佐,可被称为“司州纲纪”,承担辅佐长官治理司州之任,权责甚重,非一般人所能担任。任此二职者多为当时本州郡名门士族,且需具有一定的治理才能与品学修养。此外,此二职品级较高,多作为士人任实职后的迁转官,且任职者多历任清职,仕途坦荡,可见此二职清浊度较清,有实际职权,地位重要。任司州别驾、治中者在身份、个人素质与仕宦方面体现出的特征既符合北魏贵族流品思想选官原则,又能表现出当时任此二职的本籍任用、胡汉合作与德才兼备原则,亦能体现此二职的属性及在当时的地位。 展开更多
关键词 北魏 司州 别驾 治中
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鳖甲的本草考证 被引量:3
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作者 苏晓岚 袁维 +1 位作者 银思涵 孙克伟 《中医临床研究》 2023年第10期24-30,共7页
文章考证鳖甲历代演变过程,为其临床应用及新药开发提供参考。通过检索网络数据平台及实地查阅文献等途径对古籍记载的鳖甲别名、基原、产地、品质、性能、采收炮制、功效主治、使用注意等方面进行系统梳理及分析。经考证可知,鳖甲别名... 文章考证鳖甲历代演变过程,为其临床应用及新药开发提供参考。通过检索网络数据平台及实地查阅文献等途径对古籍记载的鳖甲别名、基原、产地、品质、性能、采收炮制、功效主治、使用注意等方面进行系统梳理及分析。经考证可知,鳖甲别名多由鳖的别称或俗名加之背甲特点得来。基原上,中华鳖的背甲是唯一来源。鳖甲道地产区在邻长江水系的两湖地区。品质上,古代多以肋数评价鳖甲品质,现不建议将肋数作为评价标准。古籍记载其性味多为咸平。炮制上,净制鳖甲需注意不用“煮脱者”,炮制辅料中醋占主导。基于考证结果,建议应用涉及鳖甲时选取中华鳖为基原,依功效更其性能为咸微寒,净制鳖甲不用“煮脱者”。 展开更多
关键词 鳖甲 本草考证 沿革
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Study on Integral Dissolution Model Based on Biological Potency for Compound Chinese Materia Medica
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作者 Yun-zhi Xiao Yuan Dong +5 位作者 Chao-yong Liu Li-hong Zhang Chao Yu Lu Wan Jin Han Hai-long Yuan 《Chinese Herbal Medicines》 CAS 2015年第2期143-149,共7页
Objective To investigate the integral dissolution model based on biological potency in order to evaluate the dissolution of Compound Chinese materia medica(CCMM) in vitro. Methods The contents of paeoniflorin, phill... Objective To investigate the integral dissolution model based on biological potency in order to evaluate the dissolution of Compound Chinese materia medica(CCMM) in vitro. Methods The contents of paeoniflorin, phillyrin, ginsenoside Rg1, and adenosine of ten batches of Compound Biejia Ruangan Tablet(CBRT) were determined at different times. The self-defined weighting coefficient based on the contents has been created to establish the integral dissolution model. In addition, the biological potency of CBRT was measured by MTT assay. Then, the f2 similar factor was used to evaluate the similarity of the batches. Results Compared with batch a, some batches’ f2 values of paeoniflorin and adenosine were less than 50, while f2 values of ginsenoside Rg1, phillyrin, and integral component were more than 50. Likewise, ginsenoside Rg1, phillyrin, and integral component were all in good correlation with biological dissolution. Conclusion The results of the integral dissolution based on biological test of CBRT demonstrate that the bioassay method may be a promising supplement for its quality evaluation. 展开更多
关键词 biological potency Compound biejia Ruangan Tablet integral dissolution similarity factors
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恩替卡韦联合复方鳖甲软肝片治疗慢性乙型肝炎肝纤维化96周的临床疗效 被引量:134
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作者 杨年欢 袁国盛 +8 位作者 周宇辰 刘俊维 黄华萍 胡承光 熊玲 李园 周福元 杨淑玲 周元平 《南方医科大学学报》 CAS CSCD 北大核心 2016年第6期775-779,共5页
目的观察恩替卡韦联合复方鳖甲软肝片对慢性乙型肝炎(CHB)肝纤维化患者的临床疗效,探索具有协同治疗作用、促进CHB肝纤维化逆转的联合治疗方案。方法 2010年6月~2015年6月在南方医科大学南方医院感染内科接受抗病毒治疗的CHB肝纤维... 目的观察恩替卡韦联合复方鳖甲软肝片对慢性乙型肝炎(CHB)肝纤维化患者的临床疗效,探索具有协同治疗作用、促进CHB肝纤维化逆转的联合治疗方案。方法 2010年6月~2015年6月在南方医科大学南方医院感染内科接受抗病毒治疗的CHB肝纤维化患者197例构成随访队列,按年龄、性别、LSM配对后分为恩替卡韦联合复方鳖甲软肝片组(以下简称A组,n=98例)和单用恩替卡韦治疗组(以下简称B组,n=99例),每12周随访1次。检测两组患者HBV DNA定量、血清学指标、血生化指标,肝脏硬度值(LSM)采用Fibro Scan检测,并转换为Metavir分期。结果治疗后两组患者LSM均明显降低(P〈0.05),A组与B组Metavir分级下降中位时间分别为72周、96周,差异有统计学显著性意义;A组和B组ALT复常中位时间分别为12周、24周,AST复常中位时间分别为24周、36周,差异均有统计学显著性意义。两组HBV DNA阴转率、HBe Ag血清学转换率无明显差异。结论恩替卡韦联合复方鳖甲软肝片能进一步改善CHB肝纤维化患者的总体疗效;对CHB肝纤维化具有协同治疗效应;复方鳖甲软肝片尚具有独立的护肝降酶作用。 展开更多
关键词 乙型肝炎 肝纤维化 恩替卡韦 复方鳖甲软肝片 联合
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复方鳖甲软肝片抗肝纤维化疗效的系统评价 被引量:59
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作者 蔺武 刘心娟 +3 位作者 魏南 高炳霞 姜国俊 常岩芹 《胃肠病学和肝病学杂志》 CAS 2007年第1期69-72,共4页
目的运用循征医学的方法,对复方鳖甲软肝片抗肝纤维化的疗效进行系统评价。方法采用Jadad评分标准,并利用RevMan4.2软件对多个研究结果的总体效应进行Meta分析,用漏斗图分析发表性偏倚。结果9篇临床试验包含307例符合纳入标准,所有试验... 目的运用循征医学的方法,对复方鳖甲软肝片抗肝纤维化的疗效进行系统评价。方法采用Jadad评分标准,并利用RevMan4.2软件对多个研究结果的总体效应进行Meta分析,用漏斗图分析发表性偏倚。结果9篇临床试验包含307例符合纳入标准,所有试验被评为低质量试验。复方鳖甲软肝片抗肝纤维化的疗效与对照组比较,差异均有统计学意义。结论复方鳖甲软肝片有明显的抗纤维化作用并可使代偿性肝硬化在一定程度上逆转,但在研究的方法学上有待完善。 展开更多
关键词 复方鳖甲软肝片 肝纤维化 系统评价 META分析
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复方鳖甲软肝片联合恩替卡韦对HBV相关肝硬化患者的临床疗效观察 被引量:62
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作者 吴刚 何鸿雁 +1 位作者 李烨 陈文 《中华肝脏病杂志》 CAS CSCD 北大核心 2014年第8期604-608,共5页
目的探讨复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎肝硬化患者肝纤维化指标的影响及其临床疗效。方法选择2010年3月至2012年8月期间接受治疗的慢性乙型肝炎肝硬化患者163例,分为复方鳖甲软肝片联合恩替卡韦治疗组(A组,n=56),恩替... 目的探讨复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎肝硬化患者肝纤维化指标的影响及其临床疗效。方法选择2010年3月至2012年8月期间接受治疗的慢性乙型肝炎肝硬化患者163例,分为复方鳖甲软肝片联合恩替卡韦治疗组(A组,n=56),恩替卡韦单独治疗组(B组,n=52)和复方鳖甲软肝片单独治疗组(C组,n=55),疗程12个月。检测各组患者血清透明质酸(HA)、层黏连蛋白(LN)、IV型胶原(PCIV)和脯肽酶(PLD)浓度,肝活组织病理学检测肝脏纤维化分级,Fibroscan检测肝脏硬度。组内比较采用配对t检验,两组间均数比较采用t检验,多组间比较采用方差分析,计数资料比较采用x^2检验。结果治疗后3组患者ALT、AST、HBVDNA定量、HA、LN、PCIV和PLD水平较治疗前均显著下降(P<0.05)。A组HA、LN、PCIV和PLD水平下降程度较B组、C组明显P<0.05)。3组患者治疗后肝组织纤维化分级和肝脏硬度值较治疗前均明显降低(P<0.05),A组肝纤维化改善程度更为明显护〈0.05)。A组显效率和有效率分别为57.14%、82.14%,显著高于B组和C组(P<0.05)。结论复方鳖甲软肝片联合恩替卡韦治疗对于改善慢性乙型肝炎肝硬化患者肝纤维化有良好疗效。 展开更多
关键词 肝硬化 肝炎病毒 乙型 复方鳖甲软肝片 恩替卡韦
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前列地尔联合复方鳖甲软肝片治疗慢性乙型肝炎肝硬化的疗效观察 被引量:37
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作者 龙志玲 邵泽勇 +1 位作者 伍锡刚 何春龙 《现代药物与临床》 CAS 2018年第1期134-138,共5页
目的探讨复方鳖甲软肝片联合前列地尔治疗慢性乙型肝炎肝硬化的临床疗效。方法选取2013年4月—2016年6月在雅安市人民医院接受治疗的126例慢性乙型肝炎肝硬化患者作为研究对象,随机分为对照组和治疗组,两组各63例。对照组患者口服复方... 目的探讨复方鳖甲软肝片联合前列地尔治疗慢性乙型肝炎肝硬化的临床疗效。方法选取2013年4月—2016年6月在雅安市人民医院接受治疗的126例慢性乙型肝炎肝硬化患者作为研究对象,随机分为对照组和治疗组,两组各63例。对照组患者口服复方鳖甲软肝片,4片/次,3次/d;治疗组患者在对照组的基础上静脉注射前列地尔注射液,5μg加入到10mL生理盐水中,1次/d。两组患者均治疗6周。观察两组的乙肝病毒的脱氧核糖核酸(HBV-DNA)转阴率、乙肝E抗原(HBeAg)转阴率及HBeAg转换率,比较治疗前后两组患者的Child-Pugh评分、肝功能指标以及肝纤维化指标的变化。结果治疗组的HBV-DNA转阴率、HBeAg转阴率和HBeAg转换率分别为77.8%、54.0%、44.4%,均显著高于对照组的55.6%、30.2%、27.0%,两组比较差异具有统计学意义(P<0.05);两组患者的Child-Pugh评分均降低,同组治疗前后比较差异具有统计学意义(P<0.05);且治疗后治疗组的Child-Pugh评分明显低于对照组,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者的丙氨酸氨基转移酶(ALT)和总胆红素(TBIL)显著降低,凝血酶原活动度(PTA)升高,同组治疗前后比较差异具有统计学意义(P<0.05);且治疗后治疗组的肝功能指标明显优于对照组,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者的透明质酸(HA)、Ⅲ型前胶原(PCⅢ)、IV型胶原(Ⅳ-C)、层黏连蛋白(LN)均显著降低,同组治疗前后比较差异具有统计学意义(P<0.05);且治疗后治疗组的肝纤维化指标明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论复方鳖甲软肝片联合前列地尔治疗慢性乙型肝炎肝硬化疗效显著,可有效改善肝功能和肝纤维化,具有一定的临床推广应用价值。 展开更多
关键词 前列地尔注射液 复方鳖甲软肝片 乙型肝炎肝硬化 HBV-DNA转阴率 HBeAg转阴率 HBeAg转换率 肝功能 肝纤维化
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恩替卡韦联合复方鳖甲软肝片治疗慢性乙型肝炎患者疗效观察 被引量:29
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作者 姚云洁 杨才兴 巫继 《实用肝脏病杂志》 CAS 2015年第4期356-359,共4页
目的观察复方鳖甲软肝片联合恩替卡韦分散片(ETV)治疗慢性乙型肝炎(CHB)的临床疗效。方法将138例慢性乙型肝炎患者随机分为复方鳖甲软肝片和恩替卡韦分散片联合治疗73例和恩替卡韦分散片单药治疗65例,观察两组患者肝功能、乙型肝炎病毒(... 目的观察复方鳖甲软肝片联合恩替卡韦分散片(ETV)治疗慢性乙型肝炎(CHB)的临床疗效。方法将138例慢性乙型肝炎患者随机分为复方鳖甲软肝片和恩替卡韦分散片联合治疗73例和恩替卡韦分散片单药治疗65例,观察两组患者肝功能、乙型肝炎病毒(HBV)血清学标志物、HBV DNA定量、肝纤维化指标、腹部彩超检查的变化及药物不良反应。结果治疗48w后,两组患者肝功能与治疗前基线水平相比均显著改善[联合组治疗前后ALT为(118.7±70.9)U/L对(32.6±21.5)U/L,P<0.01;ALB为(38.5±3.8)g/L对(43.2±4.5)g/L,P<0.01];两组患者血清HBV DNA定量下降到检测水平以下的发生率分别为85.33%(64/73)和86.15%(56/65),HBe Ag血清学转换率分别为27.78%和15.15%(P>0.05);在治疗48w时,联合治疗组血透明质酸(HA)和脾脏长径分别为(172.40±58.16)μg/L和(10.15±0.12)cm,均较基线水平显著降低[(365.17±119.07)μg/L和(12.08±0.16)cm,P<0.05],且联合治疗组疗效优于单药组[HA为(218.13±75.32)μg/L,脾脏长径(11.90±0.20)cm,P<0.05]。结论ETV联合复方鳖甲软肝片治疗CHB患者疗效优于单用ETV,值得进一步验证。 展开更多
关键词 慢性乙型肝炎 复方鳖甲软肝片 肝纤维化 恩替卡韦 疗效
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复方鳖甲软肝片联合恩替卡韦对慢性乙型肝炎血清肝纤维化标志物影响的Meta分析 被引量:29
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作者 段雪琳 黎桂玉 +2 位作者 李树民 彭岳 赵铁建 《中国医院药学杂志》 CAS CSCD 北大核心 2015年第19期1762-1765,共4页
目的:系统评价复方鳖甲软肝片联合恩替卡韦及单用恩替卡韦对慢性乙型肝炎血清肝纤维化四项指标的影响。方法:计算机检索中国期刊全文数据库(CNKI)、中文科技期刊数据库(VIP)、万方数据资源系统(WANFANG DATA)、中国生物医学文献数据库(C... 目的:系统评价复方鳖甲软肝片联合恩替卡韦及单用恩替卡韦对慢性乙型肝炎血清肝纤维化四项指标的影响。方法:计算机检索中国期刊全文数据库(CNKI)、中文科技期刊数据库(VIP)、万方数据资源系统(WANFANG DATA)、中国生物医学文献数据库(CBM)以及英文数据库PubMed、Embase、Web of Science、the Cochrane Library,检索自建库至2015年1月以来复方鳖甲软肝片联合恩替卡韦与单用恩替卡韦治疗慢性乙型肝炎的临床随机对照试验。按纳入和排除标准筛选文献,再进一步提取及分析资料,采用RevMan 5.3软件对多个临床试验结果的总体效应进行Meta分析。结果:共纳入7个临床随机对照试验,共539例患者,观察组272例,对照组267例,均为慢性乙型肝炎治疗的研究。复方鳖甲软肝片联合观察组血清肝纤维化四项指标即透明质酸(HA),层粘连蛋白(LN),Ⅲ型前胶原蛋白(PCⅢ)、Ⅳ型胶原蛋白(IV-C)水平均较单用恩替卡韦组显著降低(P<0.05)。结论:复方鳖甲软肝片联合恩替卡韦能明显降低慢性乙型肝炎血清肝纤维化指标,但由于目前研究质量偏低,尚需要大量、严格、方法学质量高的随机对照试验进一步证实。 展开更多
关键词 复方鳖甲软肝片 恩替卡韦 慢性乙型肝炎 血清肝纤维化标志物 META分析
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复方鳖甲软肝方对肺纤维化大鼠细胞外基质的影响 被引量:19
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作者 张东伟 王继峰 +5 位作者 牛建昭 杨美娟 王玲巧 金焕 刘连起 高宝华 《中国中药杂志》 CAS CSCD 北大核心 2004年第1期62-66,共5页
目的 :研究复方鳖甲软肝方对博莱霉素诱导大鼠肺纤维化细胞外基质的影响。方法 :SD雄性大鼠 54只 ,分为假手术对照组、模型对照组、复方鳖甲软肝方高剂量组、中、低剂量组、强的松组 ,每组 9只。除假手术对照组外其余各组大鼠气管内一... 目的 :研究复方鳖甲软肝方对博莱霉素诱导大鼠肺纤维化细胞外基质的影响。方法 :SD雄性大鼠 54只 ,分为假手术对照组、模型对照组、复方鳖甲软肝方高剂量组、中、低剂量组、强的松组 ,每组 9只。除假手术对照组外其余各组大鼠气管内一次性滴注盐酸博莱霉素 ,假手术对照组大鼠气管内一次性滴注等体积的生理盐水。 2 8d后给药 ,复方鳖甲软肝方高、中、低剂量组 ,强的松组分别灌服复方鳖甲软肝方 1.4,0 .7,0 .3 5g·kg- 1及强的松 0 .56mg·kg- 1,假手术对照组、模型对照组分别灌服等体积的生理盐水。观察 80d时大鼠肺组织羟脯氨酸和血清中Ⅲ (Ⅲ C) ,Ⅳ (Ⅳ C)胶原及层粘连蛋白 (LN)和透明质酸 (HA)的含量 ,同时取肺组织行HE ,Masson染色。结果 :复方鳖甲软肝方可降低肺纤维化大鼠Ⅰ ,Ⅲ胶原 ,层粘连蛋白及透明质酸含量 ,减轻肺组织纤维性增生。结论 展开更多
关键词 复方鳖甲软肝方 肺纤维化 细胞外基质 中药
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升麻鳖甲汤加减方联合CAG方案治疗阴虚毒瘀型老年急性髓系白血病的临床研究 被引量:27
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作者 代兴斌 孙雪梅 +3 位作者 姜鹏君 倪海文 陈健一 张文曦 《中国中西医结合杂志》 CAS CSCD 北大核心 2016年第2期149-154,共6页
目的观察升麻鳖甲汤加减方联合CAG方案治疗阴虚毒瘀型老年急性髓系白血病(acute myeloid leukemia,AML)的有效性和安全性。方法将46例老年AML患者按随机数字表分为治疗组(24例)和对照组(22例),治疗组给予CAG方案联合升麻鳖甲汤加减方治... 目的观察升麻鳖甲汤加减方联合CAG方案治疗阴虚毒瘀型老年急性髓系白血病(acute myeloid leukemia,AML)的有效性和安全性。方法将46例老年AML患者按随机数字表分为治疗组(24例)和对照组(22例),治疗组给予CAG方案联合升麻鳖甲汤加减方治疗,对照组给予CAG方案联合中药安慰剂治疗,中药疗程均为21天。观察两组患者的临床疗效和不良反应;比较治疗前后的体力状况(ECOG评分)、输血依赖情况及中医证候积分变化。结果(1)治疗组完全缓解(complete remission,CR)率为54%(1 3/24),有效率(obiective response rate,ORR)为71%(1 7/24),对照组CR率为36%(8/22),ORR为54%(1 3/24),治疗组CR和ORR值均高于对照组,差异有统计学意义(P=0.036、0.042)。按照危险度分层进行疗效比较,对照组和治疗组预后中等患者ORR分别为57%(8/14)、71%(10/14),预后不良患者ORR分别为33%(2/6)、67%(6/9),治疗组均高于对照组,差异有统计学意义(P=0.048、0.010)。(2)与本组治疗前比较,治疗组治疗后ECOG评分降低,红细胞和血小板平均输注时间明显延长(均P<0.05);治疗组治疗后ECOG评分、红细胞和血小板平均输注时间优于对照组,差异均有统计学意义(P<0.05)。(3)与本组治疗前比较,对照组治疗后发热、出血和骨痛症状积分下降(P<0.05),治疗组治疗后发热、乏力、出血、骨痛、口干主要临床症状积分均下降(P<0.05);在乏力、发热、出血、口干等症状缓解方面治疗组明显优于对照组(P<0.05)。(4)在血液学毒性方面,治疗组中性粒细胞减少、贫血和血小板减少发生率均低于对照组[分别为29.2%(7/24)vs 54.5%(12/22)、16.7%(4/24)vs45.5%(10/22)、33.3%(8/24)vs 63.6%(14/22)],差异均有统计学意义(P<0.05);治疗组乏力、厌食的发生率均为37.5%(9/24),对照组发生率分别为63.6%(14/22)、81.8%(18/22),治疗组明显低于对照组,差异均有统计学意义(P<0.05)。结论升麻鳖甲汤加减方联合化疗治疗阴虚毒瘀型� 展开更多
关键词 升麻鳖甲汤 白血病 阴虚毒瘀 老年人
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紫草鳖甲四物汤治疗162例银屑病临床观察 被引量:13
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作者 魏雅川 卢贺起 《中医杂志》 CSCD 北大核心 2000年第2期97-98,共2页
以紫草鳖甲四物汤为基本方,以血热、血燥为主型,再辨夹风、夹湿、血瘀、肾虚四症,配以相应的中药加减治疗银屑病患者162例,治愈率46%,总有效率89%。认为银屑病多为肝阴虚而肝阳过刚所致,点滴状多兼有表证和肺实、斑块状多兼有风燥和血... 以紫草鳖甲四物汤为基本方,以血热、血燥为主型,再辨夹风、夹湿、血瘀、肾虚四症,配以相应的中药加减治疗银屑病患者162例,治愈率46%,总有效率89%。认为银屑病多为肝阴虚而肝阳过刚所致,点滴状多兼有表证和肺实、斑块状多兼有风燥和血瘀,关节型多见肾虚,红皮症型多有药毒。 展开更多
关键词 银屑病 中医药疗法 紫草鳖甲四物汤
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鳖甲煎丸对慢性乙肝合并肝硬化患者炎症因子及肝纤维化指标的影响 被引量:25
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作者 唐承璐 吕小红 +2 位作者 韩菊平 张元杰 王冬初 《海南医学院学报》 CAS 2018年第15期1410-1413,共4页
目的:探讨鳖甲煎丸对慢性乙肝合并肝硬化患者炎症因子及肝纤维化指标的影响。方法:选取2017年1~12月我院收治的94例慢性乙肝合并肝硬化患者纳入本研究,随机分为观察组47例与对照组47例,对照组给予阿德福韦酯片,观察组在对照组的基础上... 目的:探讨鳖甲煎丸对慢性乙肝合并肝硬化患者炎症因子及肝纤维化指标的影响。方法:选取2017年1~12月我院收治的94例慢性乙肝合并肝硬化患者纳入本研究,随机分为观察组47例与对照组47例,对照组给予阿德福韦酯片,观察组在对照组的基础上联合使用鳖甲煎丸,比较两组治疗前后肝功能、炎症因子及肝纤维化指标的变化。结果:治疗前,两组患者的谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆红素(TBIL)、血清白蛋白(ALB)均无统计学差异(P>0.05);治疗后,两组患者的AST、ALT、TBIL均降低,且观察组的AST、ALT、TBIL低于对照组,两组患者的ALB均升高,且观察组的ALB高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组患者的肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)、白介素-10(IL-10)均无统计学差异(P>0.05);治疗后,两组患者的TNF-α、IL-1β均降低,且观察组的TNF-α、IL-1β低于对照组,两组患者的IL-10均升高,且观察组的IL-10高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组患者的透明质酸(HA)、层黏连蛋白(LN)、Ⅳ型胶原(Ⅳ-C)、Ⅲ型前胶原(PCⅢ)均无统计学差异(P>0.05);治疗后,两组患者的HA、LN、IV-C、PCⅢ均降低,且观察组的HA、LN、IV-C、PCⅢ低于对照组,差异均有统计学意义(P<0.05)。结论:鳖甲煎丸能够有效改善慢性乙肝合并肝硬化患者的炎症因子及肝纤维化程度。 展开更多
关键词 鳖甲煎丸 乙肝 肝硬化 炎症因子 肝纤维化
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