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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.

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。

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