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α-甲吡葡胺治疗病毒性肝炎的临床及统计学研究

[Clinical and statistical study of the use of alpha-MPG in the treatment of viral hepatitis].

作者信息

Bosio G, Marietti G

出版信息

Minerva Med. 1978 May 5;69(22):1495-501.

PMID:683551
Abstract

Several workers have already employed alpha-MPG in the management of acute vital hepatitis as a sulphydrylating agent to combat viral poisoning of the liver cells. Its distinct features include the stability of its molecule, its biochemical attributes in the course of time, and its virtually similar oral and injectable LD(50) (2100 MG/KG). High doses, well above those possible with earlier sulphydrylating agents, were used in a trial of alpha-MPG against UDPG. The new drug proved more active and led to a particularly significant fall in SGPT. Subjective and biohumoral parameters returned to normal more quickly, though the differences were not significant. Tolerance was good. Subjective over-reaction with a slight rise in temperature and allergic exanthema was noted in 3 cases. This promptly regressed when the treatment was suspended.

摘要

已有几位研究人员将α-巯基丙酰甘氨酸作为一种巯基化剂用于急性重症肝炎的治疗,以对抗肝细胞的病毒中毒。其显著特点包括分子的稳定性、随时间变化的生化特性以及几乎相似的口服和注射半数致死量(2100毫克/千克)。在一项α-巯基丙酰甘氨酸对抗尿苷二磷酸葡萄糖(UDPG)的试验中,使用了远高于早期巯基化剂可能达到的高剂量。结果证明这种新药更具活性,导致谷丙转氨酶(SGPT)显著下降。主观和生物体液参数恢复正常的速度更快,尽管差异不显著。耐受性良好。有3例出现了伴有体温略有升高和过敏性皮疹的主观过度反应。治疗暂停后,这种反应迅速消退。

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