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一种新的肝脏脂质含量测定技术在脂肪肝疗效评价中的应用

Application of a new intrahepatic lipid content technique on the evaluation of the therapeutic effects of fatty liver disease
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摘要 [目的]应用磁共振氢谱(1H-MRS)技术定量评价肝脂消胶囊治疗非酒精性脂肪肝(NAFLD)的疗效。[方法]依中华医学会NAFLD诊断标准入选NAFLD患者22例进行常规体检、肝脏1H-MRS扫描和CT平扫,计算肝内脂质水平(IHCL)和CT肝/脾比值,服用肝脂消胶囊8周,检测治疗前、后血清生化指标I、HCL和CT肝/脾比值的变化。[结果]经治疗后NAFLD患者血清丙氨酸氨基转移酶、三酰甘油和IHCL均明显下降,CT肝/脾比值明显升高(P<0.05,<0.01)。[结论]肝脏1H-MRS扫描可对肝脏内脂质水平进行准确定量,肝脂消胶囊可有效治疗NAFLD。 [Objective]To investigate the application of proton magnetic resonance spectroscopy (^1 H-MRS) on the evaluation of the therapeutic effects of Ganzhixiao Capsule in treating nonalcoholic fatty liver disease(NAFLD). [Methods]Twenty two patients were selected according to the Chinese Medical Association's (CMA) standard of the NAFLD. Physical examination were carried out and the intrahepatic content of lipid (IHCL)was evaluated by ^1 H-MRS scan and computerized tomography(CT). The IHCL and CT value ratio ( liver and spleen ) were measured Then patients were treated with Ganzhixiao Capsule for eight weeks. All the above parameters were tested after treatment. (P〈0. 05,〈0. 01)[Results] After eight weeks" treatment serum alanine aminotransferase(ALT) activity, concentration of triglyceride(TG) and IHCL all decreased significantly while CT value ratio increased significantly. [Conclusion ]The intrahepatic content of lipid can be measured precisely by ^1HMRS. NAFLD are treated effectively by Ganzhixiao Capsule.
出处 《中国中西医结合消化杂志》 CAS 2008年第4期218-221,共4页 Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金 湖北省重点攻关项目(2002AA302B13)
关键词 磁共振氢谱 脂肪肝 肝脂消胶囊 proton magnetic resonance spectroscopy fatty liver disease Ganzhixiao Capsule
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