文章摘要
生长抑素联合血必净治疗急性胆囊炎及对患者肝功能血清炎症因子的影响
Somatostatin combined with Xuebijing in treatment of acute cholecystitis(AC) and its effect on liver function and serum inflammatory factors
投稿时间:2023-08-08  
DOI:10.3969/j.issn.1000-0399.2024.08.005
中文关键词: 生长抑素  血必净  急性胆囊炎  肝功能  炎症因子
英文关键词: Somatostatin  Xuebijing  Acute cholecystitis  Liver function  Inflammatory factors
基金项目:河北省2020年度医学科学研究课题项目(编号:20200620)
作者单位
陈立坤 073000 河北保定 河北省第七人民医院外四科 
董彩丽 073000 河北保定 河北省第七人民医院检验科 
顾春芳 073000 河北保定 河北省第七人民医院药剂科 
杨淑红 073000 河北保定 河北省第七人民医院外四科 
尹玉杰 073000 河北保定 河北省第七人民医院外四科 
朱小静 073000 河北保定 河北省第七人民医院中医科 
渠兴甫 073000 河北保定 河北省第七人民医院外四科 
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中文摘要:
      目的 研究生长抑素联合血必净治疗急性胆囊炎(AC)及对患者肝功能、血清炎症因子的影响。方法 选择 2022 年1~12 月于河北省第七人民医院治疗的 AC 患者 126 例,依照随机数字表法分为试验组与对照组,每组 63 例。对照组行常规对症治疗+生长抑素治疗,试验组行常规对症治疗+生长抑素+血必净治疗。观察两组患者临床体征改变指标;治疗前、后血清超敏 C-反应蛋白(Hs-CRP)、降钙素原(PCT)、肿瘤坏死因子-α(TNF-α)等炎症因子水平;丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、谷草转氨酶(AST)及前清蛋白(PA)等肝功能指标水平;不良反应及 3 个月内复发率情况。结果 试验组恶心呕吐消失时间、体温恢复正常时间、腹痛消失时间、饮食恢复正常时间均优于对照组(P<0.05)。治疗后,试验组血清 Hs-CRP、PCT、TNF-α 及 ALT、TBIL、AST 水平均低于对照组,PA 水平高于对照组,且治疗前后各指标差值差异均有统计学意义(P<0.05)。试验组临床疗效优于对照组;治疗后 3 个月内,试验组复发率低于对照组(P<0.05)。结论 生长抑素、血必净联合治疗 AC 可降低血清炎症因子水平,保护肝功能,促进患者康复,疗效显著,复发率低,安全可靠。
英文摘要:
      Objective To study the effects of somatostatin combined with Xuebijing on acute cholecystitis(AC) and on liver function and serum inflammatory factors. Methods A total of 126 patients with AC treated in Hebei Seventh People’s Hospital from January 2022 to December 2022 were selected and divided into the experimental group (n=63) and the control group (n=63) according to random number table method. The control group received conventional symptomatic treatment combined with somatostatin treatment, and the experimental group received conventional symptomatic treatment together with somatostatin combined with Xuebijing treatment. The clinical signs of the two groups were observed, including the serum levels of hypersensitive C-reactive protein (Hs-CRP), procalcitonin (PCT), tumor necrosis factor-α (TNF-α) and other inflammatory factors before and after treatment; alanine aminotransferase (ALT), total bilirubin (TBIL), aspartate aminotransferase (AST), prealbumin (PA) and other liver function indicators. The adverse reactions and recurrence rate within three months were also compared. Results The disappearance time of nausea and vomiting, temperature return to normal, abdominal pain return time and diet return to normal time in experimental group were better than those in control group (P<0.05). After treatment, the serum levels of Hs-CRP, PCT, TNF-α, ALT, TBIL and AST in the experimental group were lower than those in the control group, and the levels of PA were higher than those in the control group, and the differences of each index before and after treatment were statistically significant (P<0.05). The clinical efficacy of the experimental group was better than that of the control group, and the recurrence rate of the experimental group was lower than that of the control group within three months after treatment, with statistical significance (P<0.05). Conclusion Somatostatin combined with Xuebijing in the treatment of AC can reduce the level of serum inflammatory factors, protect liver function and promote the recovery of patients, with significant efficacy, low recurrence rate, safety and reliability.
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