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• 药品评价-临床研究 • 上一篇    下一篇

复方甘草酸苷在原发性肝癌介入化疗中的护肝作用研究

周磊,朱先海,费一鹏,许军,施长杲,秦汉林,侯昌龙   

  1. 安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科,安徽省肿瘤医院肿瘤介入科
  • 收稿日期:2019-03-05 修回日期:2019-04-10 出版日期:2019-04-25 发布日期:2019-04-25

Study on the Hepatoprotective Effect of Compound Glycyrrhizin in Interventional Chemotherapy for Primary Liver Cancer

Zhou Lei,,,,, and   

  1. Department of Cancer Intervention,Anhui Cancer Hospital,Hefei,Anhui,230001,Department of Cancer Intervention,Anhui Cancer Hospital,Hefei,Anhui,230001,Department of Cancer Intervention,Anhui Cancer Hospital,Hefei,Anhui,230001,Department of Cancer Intervent
  • Received:2019-03-05 Revised:2019-04-10 Online:2019-04-25 Published:2019-04-25

摘要: 目的:分析复方甘草酸苷对原发性肝癌患者行经导管肝动脉栓塞化疗(TACE) 中的护肝作用及临床效果。方法:选取2017年3月至2018年12月本院收治的91例原发性肝癌患者,用随机数字表法分为对照组46例和治疗组45例。对照组给予常规TACE治疗,治疗组在常规TACE后同时给予复方甘草酸苷治疗,观察比较两组患者介入化疗后不良反应发生情况及治疗前后各项肝功能指标变化情况。结果:治疗组与对照组的不良反应为血小板减少、白细胞减少、发热、恶心、呕吐等,两组差异无统计学意义(P>0.05);治疗组TACE术后血清丙氨酸转氨酶(ALT)、血清天门冬氨酸转氨酶(AST)显著低于对照组,白蛋白(ALB)显著高于对照组,差异有统计学意义(P<0.05),指标血清总胆红素(TBIL)与对照组比差异无统计学意义(P>0.05)。结论:原发性肝癌患者在TACE术后给予配合用药复方甘草酸,对于保护患者的肝功能有积极作用。

Abstract: Objective: To analyze the hepatoprotective effect and clinical effects of compound glycyrrhizin on transcatheter arterial chemoembolization (TACE) in patients with primary liver cancer. Methods: A total of 91 patients with primary liver cancer admitted to our hospital from March 2017 to December 2018 were randomly divided into the control group (46 cases) and the treatment group (45 cases). The control group received conventional TACE treatment,while the treatment group received compound glycyrrhizin treatment after routine TACE. The adverse reactions of the two groups after interventional chemotherapy and the changes of liver function indexes before and after treatment were compared. Results: The adverse reactions between the treatment group and the control group were thrombocytopenia, leukopenia, fever, nausea, vomiting, etc. There was no significant difference between the two groups (P>0.05), serum alanine aminotransferase (ALT) and serum aspartate aminotransferase (AST) were significantly lower in the treatment group than in the control group, and albumin (ALB) was significantly higher than the control group (P<0.05). There was no significant difference in serum total bilirubin (TBIL) between the control group and the control group (P>0.05). Conclusion:Patients with primary liver cancer who were given a compound glycyrrhizic acid after TACE would have a positive effect on protecting the liver function.