JOURNAL OF PRACTICAL HEPATOLOGY ›› 2014, Vol. 17 ›› Issue (6): 575-579.doi: 10.3969/j.issn.1672-5069.2014.06.005

• Orignal Article • Previous Articles     Next Articles

Clinical effect of magnesium isoglycyrrhizinate combined with reduced glutathione in the treatment of patients with chemotherapeutic drug-induced liver injury

Guo Xiuli, Yao Shiwei, Zhang Jun   

  1. Department of Gastroenterology,Tiantan Hospital,Capital Medical University,Beijing 100050,China
  • Received:2014-07-22 Online:2014-12-31 Published:2016-04-11

Abstract: Objective To investigate the clinical effect of magnesium isoglycyrrhizinate combined with reduced glutathione in the treatment of patients with chemotherapeutic drug-induced liver injury. Methods 80 patients with chemotherapeutics-induced liver injury were randomly divided into two groups. Patients in combination treatment group(n=45) were treated intravenously with magnesium isoglycyrrhizinate combined with reduced glutathione for 2 weeks,and the patients in control group(n=35) were treated with reduced glutathione alone. The serum levels of ALT and AST were observed. Results At the end of 2 week treatment,the serum levels of ALT and AST in control group were(88±45) U/L and(98±53) U/L,significantly decreased as compared with those pre-treatment [(130±60) U/L,and (138±70) U/L,P<0.05];serum levels of ALT and AST in combination treatment group were(55±38) U/L and(56±43) U/L,significantly decreased as compared with those pre-treatment [(125±47) U/L,and (158±68) U/L,P<0.05] in this group and in the controls (P<0.05);In patients aged younger than 60 years,the serum levels of ALT and AST in 27 patients receiving combination treatment after treatment were (45±23) U/L and(40±35) U/L,and those in 20 patients in control decreased to (60±30) U/L and(65±34) U/L];while in patients older than 60 years,the serum levels of ALT[(103±45) U/L] and AST [(99±50)U/L] after combination treatment in 18 patients were significantly lower than those in 15 controls[(145±80) U/L and(151±65) U/L,P<0.05]. Conclusion Magnesium isoglycyrrhizinate combined with reduced glutathione is effective in the treatment of patients with chemotherapeutic drug-induced liver injury.

Key words: Drug-induced liver injury, Chemotherapy, Magnesium isoglycyrrhizinate, Reduced glutathione, Therapy