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熊去氧胆酸对苯巴比妥治疗的小儿癫痫患者肝功能的保护作用

Protective Effect of Ursodeoxycholic Acid on Liver Function in Pediatric Patients with Seizure Treated with Phenobarbital.

作者信息

Keikhaie Khadije Rezaie, Mohammadi Mohammad Hasan, Saravani Khadijeh, Kahkhaie Leli Rezaie, Mir Fatemeh

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran.

Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.

出版信息

Maedica (Bucur). 2023 Mar;18(1):42-49. doi: 10.26574/maedica.2023.18.1.42.

DOI:10.26574/maedica.2023.18.1.42
PMID:37266459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10231155/
Abstract

Epilepsy is a common and devastating neurological disease. Its treatment, especially when using phenobarbital, causes liver complications, and it is therefore essential to identify a way to reduce liver complications. This study aimed to investigate the protective effect of ursodeoxycholic acid on liver function in pediatric patients with seizure treated with phenobarbital. Materials and methods: The present study was conducted on 80 patients (40 in the placebo group and 40 in the ursodeoxycholic acid group). To assess the effect of intervention, liver enzyme levels after five weeks of treatment were recorded. Independent t-test and ANOVA repeated measures were used to compare the means. The study results showed that the administration of ursodeoxycholic acid had a relative effect in improving liver function in patients with liver injury caused by phenobarbital.

摘要

癫痫是一种常见且严重的神经系统疾病。其治疗,尤其是使用苯巴比妥时,会引发肝脏并发症,因此确定一种减少肝脏并发症的方法至关重要。本研究旨在探讨熊去氧胆酸对接受苯巴比妥治疗的癫痫患儿肝功能的保护作用。材料与方法:本研究对80例患者进行(安慰剂组40例,熊去氧胆酸组40例)。为评估干预效果,记录治疗五周后的肝酶水平。采用独立t检验和重复测量方差分析来比较均值。研究结果表明,熊去氧胆酸给药对改善苯巴比妥所致肝损伤患者的肝功能有相对作用。

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Protective Effect of Ursodeoxycholic Acid on Liver Function in Pediatric Patients with Seizure Treated with Phenobarbital.熊去氧胆酸对苯巴比妥治疗的小儿癫痫患者肝功能的保护作用
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引用本文的文献

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Ursodeoxycholic Acid for the Management of Drug-induced Liver Injury: Role of Hepatoprotective and Anti-cholestatic Mechanisms.熊去氧胆酸用于药物性肝损伤的管理:肝脏保护和抗胆汁淤积机制的作用
J Clin Transl Hepatol. 2025 Feb 28;13(2):162-168. doi: 10.14218/JCTH.2024.00325. Epub 2025 Jan 21.

本文引用的文献

1
Role of Ursodeoxycholic Acid in Treating and Preventing Idiosyncratic Drug-Induced Liver Injury. A Systematic Review.熊去氧胆酸在治疗和预防特异质性药物性肝损伤中的作用。一项系统评价。
Front Pharmacol. 2021 Oct 27;12:744488. doi: 10.3389/fphar.2021.744488. eCollection 2021.
2
Ursodeoxycholic acid improves liver function via phenylalanine/tyrosine pathway and microbiome remodelling in patients with liver dysfunction.熊去氧胆酸通过苯丙氨酸/酪氨酸途径和肝功能障碍患者的微生物组重塑改善肝功能。
Sci Rep. 2018 Aug 8;8(1):11874. doi: 10.1038/s41598-018-30349-1.
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Ursodeoxycholic Acid and S-adenosylmethionine for the Treatment of Intrahepatic Cholestasis of Pregnancy: A Meta-analysis.熊去氧胆酸和S-腺苷甲硫氨酸治疗妊娠期肝内胆汁淤积症的Meta分析
Hepat Mon. 2016 Jul 23;16(8):e38558. doi: 10.5812/hepatmon.38558. eCollection 2016 Aug.
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Tumor promotion and inhibition by phenobarbital in livers of conditional Apc-deficient mice.条件性 APC 缺陷小鼠肝脏中苯巴比妥的促肿瘤和抑肿瘤作用。
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Ursodeoxycholic acid and S-adenosylmethionine in the treatment of intrahepatic cholestasis of pregnancy: a multi-centered randomized controlled trial.熊去氧胆酸和S-腺苷甲硫氨酸治疗妊娠肝内胆汁淤积症:一项多中心随机对照试验
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Ursodeoxycholic Acid Can Improve Liver Transaminase Quantities in Children with Anticonvulsant Drugs Hepatotoxicity: a Pilot Study.熊去氧胆酸可改善抗惊厥药物肝毒性患儿的肝转氨酶水平:一项初步研究。
Acta Med Iran. 2015;53(6):351-5.
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ILAE official report: a practical clinical definition of epilepsy.ILAE 官方报告:癫痫的实用临床定义。
Epilepsia. 2014 Apr;55(4):475-82. doi: 10.1111/epi.12550. Epub 2014 Apr 14.
8
Evaluation of first nonfebrile seizures.首次无热惊厥的评估。
Am Fam Physician. 2012 Aug 15;86(4):334-40.
9
Ursodeoxycholic acid versus placebo, and early term delivery versus expectant management, in women with intrahepatic cholestasis of pregnancy: semifactorial randomised clinical trial.熊去氧胆酸对比安慰剂,以及早孕期分娩对比期待治疗,用于妊娠肝内胆汁淤积症妇女:半因子随机临床试验。
BMJ. 2012 Jun 13;344:e3799. doi: 10.1136/bmj.e3799.
10
Role of ursodeoxycholic acid in prevention of hepatotoxicity caused by amoxicillin-clavulanic acid in rats.熊去氧胆酸在预防大鼠阿莫西林-克拉维酸所致肝毒性中的作用。
Ann Hepatol. 2009 Apr-Jun;8(2):134-40.