目的探讨硫普罗宁联合促肝细胞生长素治疗慢性乙型肝炎患者的临床效果。方法选择2017年12月至2020年2月我院收治的慢性乙型肝炎患者90例,采用随机数字法分为观察组和对照组,每组45例。两组患者均给予常规治疗。在此基础上,对照组患者加用硫普罗宁治疗,观察组患者加用硫普罗宁和促肝细胞生长素治疗,连续治疗1个月。比较两组患者治疗前后的炎症反应及肝肾功能指标水平。结果治疗前,两组患者的降钙素原(PCT)、C-反应蛋白(CRP)、内毒素、尿素氮(BUN)、胆碱酯酶(CHE)、肌酐(Cr)和乙肝病毒脱氧核糖核酸(HBV DNA)载量水平比较,差异无统计学意义(P>0.05);治疗1个月后,观察组患者的PCT、CRP、内毒素、BUN、Cr、HBV DNA载量水平均显著低于对照组, CHE水平显著高于对照组,差异有统计学意义(P<0.05)。结论在常规治疗的基础上,硫普罗宁联合促肝细胞生长素治疗,能明显减轻慢性乙型肝炎患者的炎症反应、改善肝肾功能,临床治疗效果显著。
ObjectiveTo explore the clinical effect of tiopronin combined with hepatocyte growth-promoting factor in the treatment of patients with chronic hepatitis B. MethodsA total of 90 patients with chronic hepatitis B who were admitted to our hospital from December 2017 to February 2020 were selected, and they were divided into observation group and control group by the random number method, with 45 cases in each group. Both groups were given conventional treatment, based on which the control group was additionally treated with tiopronin, whereas the observation group was additionally administrated with tiopronin and hepatocyte growth-promoting factor, for continuous treatment in 1 month. The pre- and post-treatment inflammatory response and liver and kidney function index levels were compared between the two groups. ResultsBefore treatment, there were no statistically significant differences in the levels of procalcitonin (PCT), C-reactive protein (CRP), endotoxin, urea nitrogen (BUN), cholinesterase (CHE), creatinine (Cr) and hepatitis B virus deoxyribonucleic acid (HBV DNA) between the two groups (P>0.05). After 1 month of treatment, the levels of PCT, CRP, endotoxin, BUN, Cr, and HBV DNA in the observation group were significantly lower than those in the control group, whereas the CHE level was significantly higher than that in the control group, with statistically significant differences (P<0.05). ConclusionOn the basis of conventional treatment, tiopronin combined with hepatocyte growth-promoting factor can significantly reduce the inflammatory response and improve liver and kidney function in patients with chronic hepatitis B, with a prominent clinical efficacy.