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脐血干细胞移植治疗慢性肝衰竭患者的临床观察

张岁 郭力红 杨大伟 柳立平 贾蓓 马文波 王海舫

实用医学杂志2017,Vol.33Issue(4):565-568,4.
实用医学杂志2017,Vol.33Issue(4):565-568,4.DOI:10.3969/j.issn.1006-5725.2017.04.017

脐血干细胞移植治疗慢性肝衰竭患者的临床观察

Clinical study of the umbilical blood stem cells transplantation in the treatment of chronic liver failure

张岁 1郭力红 1杨大伟 1柳立平 1贾蓓 1马文波 1王海舫1

作者信息

  • 1. 050031石家庄市,河北医科大学第一医院中西医结合肝病诊疗中心
  • 折叠

摘要

Abstract

Objective To observe the safety and clinic effect of umbilical blood stem cell transplantation for the patients with chronic liver failure (CLF).Methods 44 patients with CLF were included in the research and divided into two groups,22 in control group received internal medicine treatment,the other 22 in treatment group received umbilical blood stem cell transplantation in addition to internal medicine treatment.The biochemical index,MELD scores,clinical symptoms,survival situation and adverse reaction of the patients were observed within 2,4,12 and 24 weeks.Results Albumin and prothrombin activity of treatment group were higher than those of control group,the MELD scores of the treatment group was lower than that of control group,the survival rate was higher than the control group,and the difference is significant between the two groups (P < 0.05).There was no significant difference between the two groups in terms of alanine aminotransferase and total bilirubin (P > 0.05).After 4 weeks treatment,fatigue,inappetite,abdominal distention and ascitic fluid of the treatment group were better than that of control group,the difference was statistically significant (P < 0.05).Besides,the patients of the both groups did not have any adverse reaction or hepatocellular carcinoma.Conclusion Umbilical blood stem cell transplantation is safe and effective for the patients with CLF and can improve the survival rate of the patients.

关键词

慢性肝衰竭/脐血干细胞移植/乙型肝炎病毒

Key words

Chronic liver failure/Umbilical cord blood stem cell transplantation/Hepatitis B virus

引用本文复制引用

张岁,郭力红,杨大伟,柳立平,贾蓓,马文波,王海舫..脐血干细胞移植治疗慢性肝衰竭患者的临床观察[J].实用医学杂志,2017,33(4):565-568,4.

基金项目

河北省医学科学研究重点课题(编号:20150636) (编号:20150636)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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