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Therapy effects of reduced glutathione on chronic hepatitis B and its influence on cytokine
Author(s): 
Pages: 678-679
Year: Issue:  11
Journal: Chinese Journal of Difficult and Complicated Cases

Keyword:  还原型谷胱甘肽乙型肝炎慢性肿瘤坏死因子-α白介素-6白介素-8;
Abstract: 目的 研究还原型谷胱甘肽(GSH)治疗慢性乙型肝炎的疗效及其对细胞因子的影响,探讨其保护肝细胞的机制.方法 87例慢性乙型肝炎患者随机分为2组,治疗组用GSH 1.2 g加入5%葡萄糖液100 ml中静脉滴注,每日1次;对照组用肌苷注射液0.4 g加入5%葡萄糖液250 ml中静脉滴注,每日1次.2组疗程均为8周.比较2组治疗后肝功能和瘤坏死因子(TNF-α)、白介素-6(IL-6)、白介素-8(IL-8)等的变化.结果 治疗组TNF-α、IL-6、IL-8的降幅明显高于对照组(P<0.05);治疗组血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、总胆红素(TBil)、结合胆红素(DBil)、总胆汁酸(TBA)的改善明显高于对照组(P<0.05和P<0.01).结论 GSH可明显抑制细胞因子对肝脏的炎性反应,对慢性乙型肝炎有显著治疗作用.
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