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中国药物评价 ›› 2025, Vol. 42 ›› Issue (3): 232-235.

• 药品评价 • 上一篇    下一篇

茵芪肝复颗粒联合异甘草酸镁治疗乙肝肝硬化患者的临床效果观察

 黄晶晶1, 李世坤2, 王玉军2   

  1. 1.信阳市第三人民医院, 河南 信阳 464000;
    2.信阳市中心医院, 河南 信阳 464000
  • 收稿日期:2025-02-19 修回日期:2025-05-28 接受日期:2025-08-05 出版日期:2025-06-28 发布日期:2025-08-05
  • 基金资助:
    河南省医学科技攻关联合共建项目(LHGJ20201111)

Observation of the Clinical Effect of Yinqi Ganfu Granules Combined with Magnesium Isoglycyrrhizinate in the Treatment of Hepatitis B Cirrhosis Patients

HUANG Jingjing1, LI Shikun2, WANG Yujun2   

  1. 1.The Third People′s Hospital of Xinyang City, Henan Xinyang 464000,China;
    2.Xinyang Central Hospital, Henan Xinyang 464000, China
  • Received:2025-02-19 Revised:2025-05-28 Accepted:2025-08-05 Online:2025-06-28 Published:2025-08-05

摘要: 目的:观察茵芪肝复颗粒联合异甘草酸镁治疗乙肝肝硬化(HBC)的临床效果。方法:选取2021年3月至2022年7月某院75例HBC患者,根据治疗方案不同分为对照组、观察组。其中予以异甘草酸镁的38例为对照组,予以茵芪肝复颗粒联合异甘草酸镁的37例为观察组。比较2组临床疗效、不良反应发生率和治疗前、治疗3个月后肝功能、相关血清因子水平。结果:观察组临床总有效率为91.89%高于对照组的73.68%(P<0.05);治疗3个月后,观察组丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、天门冬氨酸氨基转氨酶(AST)水平低于对照组(P<0.05);治疗3个月后,观察组超敏C反应蛋白(hs-CRP)、肿瘤坏死因子(TNF)-α、晚期蛋白氧化产物(AOPP)、总抗氧化能力(TAOC)水平低于对照组(P<0.05);2组不良反应发生率组间比较,差异无统计学意义 (P>0.05)。结论:茵芪肝复颗粒联合异甘草酸镁治疗HBC疗效显著,可改善肝功能,抑制体内炎症因子水平,缓解氧化应激损伤。

关键词: font-size:medium, ">茵芪肝复颗粒;异甘草酸镁;肝硬化;肝功能;炎症因子

Abstract: Objective: To observe the clinical effect of Yinqi Ganfu Granules combined with magnesium isoglycyrrhizinate in the treatment of hepatitis B cirrhosis (HBC). Methods: A total of 75 patients with HBC in the Xinyang Third People′s Hospital from March 2021 to July 2022 were selected. Patients were divided into a control group and an observation group according to different treatment plans. Among them, 38 cases were given magnesium isoglycyrrhizinate as the control group, and 37 cases were given Yinqi Ganfu Granules combined with magnesium isoglycyrrhizinate as the observation group. The clinical efficacy and adverse reaction rates of the two groups were compared, as well as the liver function and serum factor levels before and after 3 months of treatment. Results: The total clinical effective rate of the observation group was 91.89%, which was higher than that of the control group (73.68%) (P<0.05). After 3 months of treatment, the levels of alanine aminotransferase (ALT), total bilirubin (TBIL), and aspartate aminotransferase (AST) in the observation group were lower than those in the control group (P<0.05). After 3 months of treatment, the levels of high-sensitivity C-reactive protein (hs-CRP), tumor necrosis factor (TNF)-α, advanced oxidation protein products (AOPP), and total antioxidant capacity (TAOC) in the observation group were lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Yiqi Ganfu Granules combined with magnesium isoglycyrrhizinate has significant therapeutic effect on HBC, which can improve liver function, inhibit the level of inflammatory factors in the body, alleviate oxidative stress damage.

Key words: font-size:medium, ">Yinqi Ganfu Granules; Magnesium isoglycyrrhizinate; Cirrhosis; Liver function; Inflammatory factors

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