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醒脑宝胶囊治疗慢性乙型肝炎肝纤维化的临床研究

[Clinical research of xinganbao capsule on the treatment of chronic hepatitis B liver fibrosis].

作者信息

Wang Xian-Bo, Jiang Yu-Yong, Zhao Cai-Yan

机构信息

Department of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing 100015.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012 Mar;32(3):325-8.

Abstract

OBJECTIVE

To explore the effects of Xinganbao Capsule (Cordyceps Sinensis) on the chronic hepatitis B liver fibrosis.

METHODS

Sixty patients with chronic hepatitis B were randomly assigned to the trail group (40 cases) and the control group (20 cases). The trail group was treated with Xinganbao Capsule, 8 capsules each time, three times a day. The control group was given Heluo Shugan Tablet, 5 pills each time, thrice daily. Six months consisted of one therapeutic course. The liver function, four indicators of serum fibrosis, liver histology, and other items were detected.

RESULTS

Xinganbao Capsule could reduce serum ALT and AST levels, serum HA, PC-III and LN levels (all P<0.05), showing statistical difference when compared with before treatment. The HA and LN levels decreased more significantly in the control group when compared with before treatment (P<0.05). Totally 21 patients (53% of the recruited cases) in the trial group completed the liver biopsy twice. After treated with Xinganbao Capsule, 81% patients (17/21) had decreased liver inflammation 1 grade or more, 52% patients (11/21) had decreased fibrosis staging one or more, and 33% (7/21) patients had no change in fibrosis.

CONCLUSION

Xinganbao Capsule could improve the liver function, reduce liver inflammation, and fight against hepatic fibrosis.

摘要

目的

探讨心肝宝胶囊(冬虫夏草)对慢性乙型肝炎肝纤维化的影响。

方法

将60例慢性乙型肝炎患者随机分为试验组(40例)和对照组(20例)。试验组服用心肝宝胶囊,每次8粒,每日3次。对照组服用和络舒肝片,每次5片,每日3次。6个月为1个疗程。检测肝功能、血清纤维化四项指标、肝脏组织学等项目。

结果

心肝宝胶囊可降低血清ALT和AST水平、血清HA、PC-Ⅲ和LN水平(均P<0.05),与治疗前比较差异有统计学意义。对照组治疗后HA和LN水平较治疗前下降更显著(P<0.05)。试验组共有21例患者(占纳入病例的53%)完成了2次肝活检。服用心肝宝胶囊治疗后,81%的患者(17/21)肝脏炎症减轻1级或以上,52%的患者(11/21)纤维化分期减轻1期或以上,33%(7/21)的患者纤维化无变化。

结论

心肝宝胶囊可改善肝功能,减轻肝脏炎症,抗肝纤维化。

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