南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (10): 1505-.

• • 上一篇    下一篇

双环醇联合更昔洛韦治疗婴儿巨细胞病毒感染性肝炎的临床效果

刘艳红,贾美云,梁桂娟,关海山,闫安平   

  • 出版日期:2015-10-20 发布日期:2015-10-20

Bicyclol combined with ganciclocir for treatment of infantile cytomegalovirus hepatitis

  • Online:2015-10-20 Published:2015-10-20

摘要: 目的评价双环醇联合更昔洛韦治疗婴儿巨细胞病毒感染性肝炎的治疗效果。方法将70例巨细胞病毒感染性肝炎患儿
随机分为治疗组35 例与对照组35 例。两组均给予更昔洛韦5 mg/kg·次,2 次/d 静脉输注;治疗组在此基础上加用双环醇片
3 mg/kg·次,2次/d口服;均连用2周,观察效果。结果两组自身比较治疗前后比较谷丙转氨酶、碱性磷酸酶、血清总胆红素、血
清总胆汁酸、谷氨酰转肽酶差异有统计学意义(P<0.01);治疗后两组组间比较谷丙转氨酶、碱性磷酸酶、血清总胆红素、血清总
胆汁酸、谷氨酰转肽酶差异有统计学意义(P<0.01);治疗组临床疗效显著,与对照组比较差异有统计学意义(P<0.05)。治疗组
治疗后血清抗CMVIgM转阴率较对照组高,差异有统计学意义(P<0.05)。结论双环醇联合更昔洛韦治疗婴儿巨细胞病毒感
染性肝炎能够在一定程度上降低谷丙转氨酶、碱性磷酸酶、血清总胆红素,降低胆汁酸水平,减轻肝细胞损伤,保护肝细胞,促进
肝细胞恢复。

Abstract: Objective To evaluate the therapeutic effects of bicyclol combined with ganciclocir on infantile cytomegalovirus
hepatitis. Methods Seventy infants with cytomegalovirus hepatitis were randomized into treatment group (n=35) and control
group (n=35) for a 2-week-long treatment with ganciclocir (5 mg/kg) with and without oral bicyclol (3 mg/kg, twice daily),
respectively. Results In both groups, significant changes occurred in the levels of alanine aminotransferase, alkaline
phosphatase, serum total bilirubin, serum total bile acid, and glutamyl transpeptidase after the 2-week treatment (P<0.01);
these parameters differed significantly between the two groups after the treatment (P<0.01). Compared with those in the
control group, the infants in the treatment group showed significantly better responses to the treatment (P<0.05) with a
significantly higher rate of serum anti CMV IgM negativity (P<0.05). Conclusion Bicyclol combined with ganciclocir can
reduce glutamic pyruvic transaminase, alkaline phosphatase and serum total bilirubin, and decrease bile acid levels to lessen
liver cell damage and promote the recovery of liver cells.