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本文引用的文献

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Incidence of spontaneous bacterial peritonitis among asymptomatic cirrhosis patients undergoing outpatient paracentesis: a systematic review and meta-analysis.无症状肝硬化患者行门诊性腹腔穿刺术时自发性细菌性腹膜炎的发生率:系统评价和荟萃分析。
Eur J Gastroenterol Hepatol. 2021 Dec 1;33(1S Suppl 1):e851-e857. doi: 10.1097/MEG.0000000000002279.
2
Histopathological and ultrastructural assessment of two mugilid species infected with myxozoans and helminths.对两种感染了粘孢子虫和蠕虫的鲻科鱼类进行组织病理学和超微结构评估。
J Fish Dis. 2018 Feb;41(2):299-307. doi: 10.1111/jfd.12713. Epub 2017 Oct 24.
3
Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review.小儿I型和VI型胆总管囊肿合并急性胰腺炎及自发性穿孔:1例报告并文献复习
Medicine (Baltimore). 2017 Oct;96(42):e8306. doi: 10.1097/MD.0000000000008306.
4
Efficacy and safety of sofosbuvir plus ribavirin for treatment of cirrhotic patients with genotype 4 hepatitis C virus in real-life clinical practice.索磷布韦联合利巴韦林在真实临床实践中治疗基因4型丙型肝炎病毒肝硬化患者的疗效和安全性
Arch Virol. 2018 Jan;163(1):51-56. doi: 10.1007/s00705-017-3573-0. Epub 2017 Oct 5.
5
Bacterial translocation and clinical progression of HCV-related cirrhosis in HIV-infected patients.HIV感染患者中丙型肝炎病毒相关肝硬化的细菌移位与临床进展
J Viral Hepat. 2018 Feb;25(2):180-186. doi: 10.1111/jvh.12769. Epub 2017 Sep 7.
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9
Ultrathin disposable gastroscope for screening and surveillance of gastroesophageal varices in patients with liver cirrhosis: a prospective comparative study.肝硬化患者胃食管静脉曲张筛查和监测的超薄一次性胃镜:一项前瞻性对比研究。
Gastrointest Endosc. 2017 Jun;85(6):1212-1217. doi: 10.1016/j.gie.2016.11.019. Epub 2016 Nov 25.
10
Clinical practice audit concerning antimicrobial prophylaxis in paediatric neurosurgery: results from a German paediatric oncology unit.关于小儿神经外科抗菌药物预防的临床实践审核:来自德国一家儿科肿瘤病房的结果。
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血必净注射液联合头孢哌酮钠舒巴坦钠治疗乙型肝炎肝硬化并发自发性细菌性腹膜炎对TNF-α、IL-18、IL-6及肝功能的影响

Influence of Xuebijing injection combined with cefoperazone sodium and sulbactam sodium in treating hepatitis B-induced liver cirrhosis complicated by spontaneous bacterial peritonitis: TNF-α, IL-18, IL-6, and hepatic function.

作者信息

Qian Dong, Zhang Ya'nan

机构信息

The Third Department of Hepatobiliary and Pancreatic Surgery, Tianjin Nankai Hospital Tianjin 300100, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):2907-2914. eCollection 2021.

PMID:34017455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129332/
Abstract

OBJECTIVE

To analyze the influences of Xuebijing injection combined with cefoperazone sodium and sulbactam sodium (CSSS) in the treatment of hepatitis B-induced liver cirrhosis (HBLC) complicated by spontaneous bacterial peritonitis (SBP) with respect to tumor necrosis factor-α (TNF-α), interleukin-18 (IL-18), interleukin-6 (IL-6), and hepatic function.

METHODS

A total of 98 patients with HBLC complicated by SBP admitted to our hospital were selected and divided into the control group (CON, n=49) and the observation group (OBG, n=49) in accordance with the therapeutic methods. The clinical data of the patients were retrospectively analyzed. The CON was treated with CSSS, while the OBG was treated with Xuebijing injection combined with CSSS. The time of symptomatic improvement and changes of serum inflammatory factors and indices of intestinal mucosal barrier damage and hepatic function were compared between the two groups before and after treatment.

RESULTS

The time of symptomatic improvement in the OBG was shorter than that in the CON ( < 0.05). After treatment, IL-6, IL-18, TNF-α, urinary L/M, D-lactic acid, DAO, total bilirubin, ALT, and AST in the OBG were lower than those in the CON ( < 0.05).

CONCLUSION

Xuebijing injection combined with CSSS is conducive to improving the inflammatory responses of the body, intestinal tract barrier function, and hepatic function, showing satisfactory efficacy in the treatment of HBLC complicated by SBP.

摘要

目的

分析血必净注射液联合头孢哌酮钠舒巴坦钠(CSSS)治疗乙型肝炎肝硬化(HBLC)合并自发性细菌性腹膜炎(SBP)对肿瘤坏死因子-α(TNF-α)、白细胞介素-18(IL-18)、白细胞介素-6(IL-6)及肝功能的影响。

方法

选取我院收治的98例HBLC合并SBP患者,根据治疗方法分为对照组(CON,n = 49)和观察组(OBG,n = 49)。对患者的临床资料进行回顾性分析。对照组采用CSSS治疗,观察组采用血必净注射液联合CSSS治疗。比较两组治疗前后症状改善时间、血清炎症因子及肠黏膜屏障损伤指标和肝功能的变化。

结果

观察组症状改善时间短于对照组(<0.05)。治疗后,观察组IL-6、IL-18、TNF-α、尿L/M、D-乳酸、DAO、总胆红素、ALT及AST均低于对照组(<0.05)。

结论

血必净注射液联合CSSS有利于改善机体炎症反应、肠道屏障功能及肝功能,治疗HBLC合并SBP疗效满意。