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目的:探讨水飞蓟宾片治疗抗精神病药物所引致肝功能异常的疗效。方法:将100例长期口服抗精神病药物后肝功能异常的住院患者以随机抽样法分为治疗组和对照组各50例,治疗组给予水飞蓟宾片70 mg,一日三次口服,对照组给予护肝宁片1.25 g,一日三次口服。两组均治疗12周,观察两组治疗前和治疗后2,4,8,12周临床症状和血生化指标即谷丙转氨酶(ALT)和谷草转氨酶(AST)。结果:总有效率:94%对照组52%,差异有统计学意义(P>0.05)。结论:水飞蓟宾具有良好的保肝降酶的作用,对治疗抗精神病药物造成的肝损害疗效肯定。
Objective: To investigate the effect of silybin tablets in the treatment of antipsychotics induced liver dysfunction. Methods: A total of 100 hospitalized patients with abnormal liver function after long-term oral antipsychotics were randomly divided into treatment group (50 cases) and control group (50 cases). The treatment group received silybin tablet (70 mg) orally, and the control group Give Huganing tablet 1.25g, three times a day orally. The two groups were treated for 12 weeks, and the clinical symptoms and blood biochemical indexes (ALT and AST) of two groups before treatment and 2, 4, 8 and 12 weeks after treatment were observed. Results: The total effective rate was 94% in the control group 52%, the difference was statistically significant (P> 0.05). Conclusion: Silybin possesses a good effect of protecting the liver and reducing enzymes, and has a definite curative effect on liver damage caused by antipsychotics.