复方甘草酸苷治疗活动性肝炎肝硬化的疗效观察

目的:观察复方甘草酸苷长程治疗活动性肝炎肝硬化的疗效。方法:58例活动性肝炎肝硬化患者静脉注射复方甘草酸苷60ml,1次/d,连用18mo。观察治疗前、后的临床症状、体征、生化指标、病毒学指标的变化。结果:治疗后有35例患者活动性肝硬化得到控制,5例患者腹水消失,17例患者恢复工作;HBV-DNA定量下降>103拷贝/ml,HBeAg转阴率达33.3%。结论:复方甘草酸苷长程治疗活动性肝炎肝硬化,可改善患者肝功能,阻止病情进展,提高其生活质量。

Observation on Efficacy of Compound Glycyrrhizin in Treating Chronic Hepatitis B Complicated with Active Cirrhosis

OBJECTI VE: To observe the long termtherapeutic effect of compound glycyrrhizinin treating active cirrhosisfollowing chronic hepatitis B.METHODS:58patients with active cirrhosis received compound glycyrrhizin60ml intra-venously once a day for18consecutive months.The changes in clinical symptoms,signs,biochemical indicators,virologyindices after treat ment were observed.RESULTS:35cases of active cirrhosis remained stable after treat ment,ascites disap-pearedin5cases,and17patients returnedto work.The quantitated decreasein HBV-DNA was greater than103copies/ml,HBeAg negative rates reached33.3%.CONCLUSION:Long-termtreat ment with compound glycyrrhizin for active cirrhosisfollowing hepatitis B cani mprove liver function,prevent the worsening of patients’condition,andi mprove life quality.