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用核糖核酸(RNA)治疗肝炎肝硬化(慢性活动性肝炎(CAH)伴代偿期肝硬化)60例3个月,与辅酶Q10治疗3个月的另60例对照。结果表明,RNA改善血清蛋白和降ALT的疗效明显优于辅酶Q10。部分病例于治疗前后测定血清Ⅲ型前胶原肽(PⅢP)和透明质酸(HA),RNA组治疗后血清PⅢP和HA的含量明显下降,而辅酶Q10组变化不明显。用大鼠作光镜和电镜检查均揭示,RNA有减轻肝细胞病变和减少胶原纤维增生的作用。临床观察与实验研究结果一致,说明RNA有保护肝细胞和抗纤维化的作用。
Liver cirrhosis (chronic active hepatitis (CAH) with compensated cirrhosis) was treated with ribonucleic acid (RNA) for 60 months for 3 months and another 60 controls for 3 months with coenzyme Q10. The results show that RNA is significantly better than coenzyme Q10 in improving serum protein and decreasing ALT. Serum samples of type Ⅲ procollagen peptide (PⅢP) and hyaluronic acid (HA) were measured in some cases before and after treatment. The levels of PⅢP and HA in RNA group were significantly decreased after treatment, but not in coenzyme Q10 group. Using light microscopy and electron microscopy in rats revealed that RNA had the effect of reducing hepatocellular lesions and reducing the proliferation of collagen fibers. Clinical observations and experimental findings are consistent, indicating that RNA has the role of protecting liver cells and anti-fibrosis.