Fang Xiao-Qing, Gan Tian, Wang Lie-Min
Department of Pediatrics, General Hospital of Central Theater Command of PLA, Wuhan 430061, Hubei Province, China.
Department of Pharmacy, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei Province, China.
World J Gastrointest Surg. 2024 Jun 27;16(6):1742-1748. doi: 10.4240/wjgs.v16.i6.1742.
Infant hepatitis syndrome (IHS) is a clinical syndrome in infants less than one year of age with generalized skin jaundice, abnormal liver function, and hepatomegaly due to various etiologies such as infection.
To investigate the effect of IHS patients, after treatment with arsphenamine-based peptides, on patients' liver function damage and immune function.
Of 110 patients with IHS treated in our hospital from January 2019 to January 2021 were grouped according to the randomized residual grouping method, with 5 cases in each group shed due to transfer, Ultimately, 50 cases remained in each group. The control group was treated with reduced glutathione, and the treatment group was treated with sesquiterpene peptide based on the control group. Observe and compare the differences in indicators after treatment.
The comparison of serum total bilirubin, direct bilirubin, and serum alanine transferase after treatment was significantly different and lower in the treatment group than in the control group ( < 0.05). The comparison of CD4, CD3, CD4/CD8 after treatment was significantly different and higher in the treatment group than in the control group, and the comparison was statistically significant ( < 0.05). The complication of the two groups showed that the rash, cough and sputum, elevated platelets, and gastrointestinal reactions in the treatment group were significantly lower than those in the control group, and the differences were statistically significant by test ( < 0.05).
The comparative study of IHS treated with arsphenamine combined with reduced glutathione is more effective.
婴儿肝炎综合征(IHS)是一种发生于1岁以下婴儿的临床综合征,因感染等多种病因导致全身皮肤黄疸、肝功能异常及肝肿大。
探讨以胂凡纳明为基础的肽类治疗婴儿肝炎综合征患者后对其肝功能损害及免疫功能的影响。
选取2019年1月至2021年1月在我院治疗的110例婴儿肝炎综合征患者,采用随机数字表法分组,每组因转院剔除5例,最终每组各留50例。对照组采用还原型谷胱甘肽治疗,治疗组在对照组基础上采用倍半萜肽治疗。观察并比较治疗后各项指标的差异。
治疗后治疗组血清总胆红素、直接胆红素及血清谷丙转氨酶与对照组比较,差异有统计学意义,且治疗组低于对照组(P<0.05)。治疗后治疗组CD4、CD3、CD4/CD8与对照组比较,差异有统计学意义,且治疗组高于对照组(P<0.05)。两组并发症比较显示,治疗组皮疹、咳嗽咳痰、血小板升高及胃肠道反应明显低于对照组,经检验差异有统计学意义(P<0.05)。
胂凡纳明联合还原型谷胱甘肽治疗婴儿肝炎综合征效果更佳。