还原型谷胱甘肽对急性胰腺炎患者多脏器功能的保护作用

目的探讨还原型谷胱甘肽（GSH）对急性胰腺炎多脏器功能保护作用的机制。方法将45例急性胰腺炎患者随机分为GSH组和对照组。GSH组加用GSH1．2g／d静脉滴注，其余治疗两组相同。于治疗前和治疗第8d测定血浆肿瘤坏死因子-α（TNF-α）和白细胞介素-6（IL-6）等炎症介质及血浆生化指标。结果两组患者治疗后TNF-α和IL-6均较治疗前下降，而GSH组均较对照组下降更显著（P均〈0．05）。两组血浆丙氨酸转氨酶（ALT）、天冬氨酸转氨酶（AST）、肌酐（Cr）和尿素氮（BUN）均较治疗前明显降低（P均〈0．01），且GSH组前3项指标较对照组下降明显；两组血浆乳酸脱氢酶（LDH）、肌酸激酶（CK）及其同工酶（CK-MB）均较治疗前明显降低（P均〈0.01），而GSH组均较对照组下降更显著（P均〈0．05）。结论GSH对急性胰腺炎时肝、肾、心脏功能有较好的保护作用。

Protective effect of reduced glutathione on multiple organ function in patient with acute pancreatitis

OBJECTIVE: To study the protective effect of reduced glutathione (GSH) on multiple organ function in patient with acute pancreatitis. METHODS: A total of 45 patients with acute pancreatitis was randomly divided into two groups, 22 patients were given GSH in a dose of 1.2 g/d through intravenous drip for 7 days as GSH group, and 23 patients were not given GSH to serve as control group. The same treatment was given to both groups other than GSH. Plasma contents of tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) and biochemistrial indexes were determined. RESULTS: After the treatment, the levels of TNF-alpha and IL-6 were significantly decreased in both groups (all P<0.05). The levels of TNF-alpha and IL-6 were decreased much more obviously in GSH group compared with those in control group (P<0.05). Plasma alanine aminotransferase (ALT), aspartate aminotransferase (AST), creatinine (Cr), blood urea nitrogen (BUN), lactate dehydrogenase (LDH), creatine kinase (CK), and MB isoenzyme of creatine kinase (CK-MB) were significantly decreased in both treatment groups, but the decrease of all these indexes was more marked in GSH group (P<0.05). CONCLUSION: The results suggest that GSH has beneficial effects in protecting visceral organ function in patients with acute pancreatitis.