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阿托伐他汀联合HRZ致肝损伤生化特点

王璐 陈洁 孔维龙 喻明丽

昆明医科大学学报2018,Vol.39Issue(3):42-48,7.
昆明医科大学学报2018,Vol.39Issue(3):42-48,7.

阿托伐他汀联合HRZ致肝损伤生化特点

Biochemical Characteristics of Liver Injury Induced by Atorvastatin Combined HRZ

王璐 1陈洁 1孔维龙 1喻明丽1

作者信息

  • 1. 昆明市第三人民医院药学部, 云南 昆明 650041
  • 折叠

摘要

Abstract

Objective To provide theoretical basis for the rational use of drugs in clinic, the biochemical characteristics of liver injury induced by Atorvastatin Combined with HRZ (Isoniazid Rifampicin and Pyrazinamide) were analyzed in animal model. Me thods Eighty 8 week old SPF SD rats with half males and females were divided into four groups: control group, atorvastatin group, HRZ group, atorvastatin+HRZ group. According to the human mouse drug dose conversion, mice were given corresponding drugs by gavage.Hepatic function index of rats (the Total bilirubin, Direct bilirubin, Indirect bilirubin, Aspartate aminotransferase, Alanine aminotransferase, Alkaline phosphatase) were detected by blood from the femoral artery and hepatic function index of rats in each group on 10 d, 20 d, 40 d.Re s ults There were significant difference in the anmmistrated group on 10, 20, 40 days with higher TBIL, DBIL, IBIL than that in control group; in the admimistrated group on Day 10, combined treatment group was higher than that in cotrol group and there were significant differences in ALT;in the process of treatmen, there was statistical difference; ALP was administered for 20 days and the 40 day, atorvastatin there was HRZ group was statistically different in groupHRZ, severe injury, combination group compared with HRZ group had statistically significant difference. Conclus ions The liver injury in the three experimental groups is mild and moderate, and the liver damage is mainly cholestasis type. The most severe hepatic injury caused by Atorvastatin Combined with HRZ is aggravated by the prolonged use of drugs.

关键词

药物性肝损伤/生化特点/损伤机制

Key words

Drug-induced liver injury/Biochemical characteristics/Damage mechanism

分类

医药卫生

引用本文复制引用

王璐,陈洁,孔维龙,喻明丽..阿托伐他汀联合HRZ致肝损伤生化特点[J].昆明医科大学学报,2018,39(3):42-48,7.

基金项目

昆明市卫计委基金资助项目(2012-01-03) (2012-01-03)

昆明医科大学学报

OACSTPCD

1003-4706

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