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目的探讨天晴甘平(甘草酸二铵肠溶胶囊)联合苦参碱对急性白血病化疗后肝功能损害的保护效果。方法将51例急性白血病化疗后出现轻度肝损伤患者,随机分为观察组26例和对照组25例,观察组采取天晴甘平与苦参碱氯化钠注射液联合治疗,对照组仅采取苦参碱氯化钠注射液治疗,两组均持续治疗两周。比较两组患者治疗前后的肝功能指标和疗效。结果观察组肝功能损害治疗总有效率为80.8%,对照组为48.0%,两组比较差异具有统计学意义(P<0.05);观察组治疗1周、2周时谷丙转氨酶(ALT)、谷草转氨酶(AST)指标值均明显低于同期对照组,差异均具有统计学意义(P<0.05),治疗后在总胆红素(T-Bil)指标值方面比较,两组差异无统计学意义(P>0.05)。结论天晴甘平联合苦参碱对急性白血病化疗后肝功能损害治疗效果优于单纯苦参碱氯化钠注射液治疗,且安全、可靠,值得临床推广运用。
Objective To investigate the protective effect of Tiangan Ganping (diammonium glycyrrhizinate enteric-coated capsules) combined with matrine on liver dysfunction after acute leukemia chemotherapy. Methods A total of 51 acute leukemia patients with mild liver injury after chemotherapy were randomly divided into observation group (n = 26) and control group (n = 25). The observation group was treated with Gan Gan Ping and matrine sodium chloride injection. The control group Take matrine sodium chloride injection treatment, both groups continued treatment for two weeks. The liver function indexes and curative effects of two groups before and after treatment were compared. Results The total effective rate of treatment for liver dysfunction in observation group was 80.8% and in control group was 48.0%, there was significant difference between two groups (P <0.05). ALT, AST, (AST) were significantly lower than those of the control group at the same period (P <0.05). After treatment, there was no significant difference between the two groups in terms of total bilirubin (T-Bil) P> 0.05). Conclusions Tiangan Ganping combined with matrine is more effective than simple matrine and sodium chloride injection in the treatment of liver dysfunction after acute leukemia chemotherapy. It is safe and reliable and worthy of clinical application.