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灵芝煎剂治疗亚稀褶黑菇中毒患者的临床观察 被引量:6

Clinical Observation on Treatment of Russula Subnigricans Poisoning Patients by Ganoderma Lucidum Decoction
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摘要 目的 :探讨灵芝煎剂对亚稀褶黑菇中毒患者的治疗作用。方法 :以前一年同种中毒病例 11例为对照 (对照组给予输氧、输液等常规治疗 )。治疗组 14例在常规治疗基础上 ,加用灵芝煎剂口服。比较两组的临床疗效及反映肾脏损害的尿N 乙酰 β D葡萄糖酐酶 (NAG)、尿红细胞和尿蛋白、反映肝脏损害的血清ALT、反映心脏损害的血清AST等各项指标改变情况。结果 :治疗组临床愈显率明显优于对照组 (P <0 0 1) ;治疗组绝大部分病例尿红细胞在治疗 2 4h后完全消失 ,尿蛋白也明显减少 ,而 3项酶学指标第 3天上升达高峰 ,以后逐渐下降 ;对照组各项指标则呈持续进行性上升 ,两组在相同时间各项指标比较 ,治疗组明显低于对照组 ,差异有显著性 (P <0 0 1)。结论 :灵芝煎剂对亚稀褶黑菇有较好的治疗作用 ,能明显降低亚稀褶黑菇中毒的病死率。 Objective:To observe the effect of Ganoderma lucidum decoction in treating Russula subnigricans poisoning (RSP) patients. Methods:The 14 patients of RSP in the treated group were treated with GLD (GLD, one dose was prepared by 100 g of Ganoderma lucidum decocted with water to 600 ml), on the base of conventional treatment, and 11 patients received conventional therapy in the previous year were taken as control. The clinical efficacy and parameters in them were compared, including the urine N-acetyl-D-glucosaminidase (NAG, which reflects the injury of kidney), the red blood cell and protein in urine, the alanine transaminase (ALT, which reflects the injury of liver), and the aspartate aminotransferase (AST, which reflects the injury of heart). Results:A better clinical cure-markedly improving rate was showed in the treated group as compared with the control group, P<0.01. In the treated group, red blood cell in urine disappeared after 24hrs treatment in the majority of patients, urinary protein reduced obviously and the other three parameters reached the peak at the 3rd day then lowered gradually. In the control group, all the parameters increased continuously. Comparison between the parameters at corresponding time in the two groups showed significant difference (P<0.01), those in the treated group were markedly lower than those in the control group respectively. Conclusion:GLD has good effect in treating RSP, could obviously lower the fatal rate of RSP.
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2003年第4期278-280,共3页 Chinese Journal of Integrated Traditional and Western Medicine
基金 中国人体科学学会张震寰将军科研基金资助 (No.990 2 0 1 8)
关键词 亚稀褶黑菇中毒 中西医结合治疗 灵芝煎剂 N-乙酰-β-D葡萄糖酐酶 ALT AST 临床疗效 Russula subnigricans, poisoning, Ganoderma lucidum decoction
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参考文献9

  • 1余宗阳,戴西湖,刘建华.毒蕈引起肾脏损害临床研究现状与对策[J].急诊医学,1999,8(4):281-283. 被引量:6
  • 2中华医学会传染病与,寄生虫病学分会,肝病学分会.病毒性肝炎防治方案[J].中华肝脏病杂志,2000,8(6):324-329. 被引量:14013
  • 3蒋盛岩,张平,刘建强,张志光,陈作红.亚稀褶黑菇提取液诱导小白鼠肝肾细胞凋亡[J].生命科学研究,2001,5(4):351-354. 被引量:5
  • 4朱子扬 龚兆庆 汪中良主编.中毒草急救手册[M].上海:上海科学技术出版社,1999.203.
  • 5国家中医药管理局主编.中华本草(精选本上册)[M].上海:上海科学枯术出版社,1998.173.
  • 6..中药新药临床研究指导原则.第1辑[S].中华人民共和国卫生部颁布,1993:163—166..
  • 7Knaus WA. Prognosis in acute organ system failure. Ann Surg1985 ;202(6) : 685--693.
  • 8Takahashi A, Agatsumat T, Chta T, et al. Russuphelins B, C,D, E and F, new cytotoxic substances from the mushroom Russula subnigricans Hongo. Chemical and Pharmaceutical Bulletin(Tokyo) 1993;41(10) :1726--1729.
  • 9Heufler C. Investigation on the mode of action of the fungus toxic orellamine on renal cell culture. Agents andActions 1987;21(1--2) :203--208.

二级参考文献16

  • 1陈昭颉.毒蕈中毒所致急性肾功能衰竭治疗方法的评价[J].四川医学,1989,10:200-200.
  • 2雷声 金哲浩 等.毒蕈中毒13例临床分析[J].吉林医学,1996,17:110-110.
  • 3高金杰 任成山 等.毒蕈中毒致ARF的救治[J].中国危重病医学杂志,1996,8:493-494.
  • 4冯永奎 陈源根 等.腹膜透析治愈毒蕈中毒7例报告[J].四川医学,1987,8(4):245-245.
  • 5王汉民,李元勋.血液透析治疗毒蕈中毒致急性肾功能衰竭8例[J].陕西医学杂志,1997,26(1):55-55. 被引量:7
  • 6Nakagawa T,J Cell Biol,2000年,150卷,4期,887页
  • 7彭黎明,细胞凋亡的基础与临床,2000年,182页
  • 8李建宗,湖南大型真菌志,1993年,329页
  • 9Kerr J F R,Br J Cancer,1972年,26卷,239页
  • 10卢文,郝丽,熊祖应,戴宏,黄家麟.2例野生蕈中毒患者的临床治疗与肾脏病理活检[J].中国危重病急救医学,1997,9(9):565-566. 被引量:2

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