RÉSUMÉ
OBJECTIVE:To study the effects of Astragali radix injection combined with entecavir on serum inflammatory cyto-kines and liver function of model mice with hepatitis B. METHODS:60 mice were randomly divided into normal control group (normal saline),model group (normal saline),Astragali radix injection group (0.5 mL/10 g),entecavir group (45 μg/kg) and combination group(0.5 mL/10 g Astragali radix injection+45 μg/kg entecavir),12 in each group. Except for normal control group, mice in other 4 groups were induced for hepatitis B models. After modeling,all mice were intragastrically administrated once a day,for 4 weeks. After administration,tumor necrosis factor α(TNF-α),interferon γ(IFN-γ),interleukin 8 (IL-8),aspartate aminotransferase(AST),alanine aminotransferase(ALT),total bilirubin(TBIL)levels in serum were detected,and the pathologi-cal changes in liver tissue in each group were observed. RESULTS:Compared with normal control group,TNF-α,IFN-γ,IL-8, AST,ALT,TBIL levels in serum of mice in model group were significantly increased(P<0.05);and liver cells were diffuse and severe steatosis. Compared with model group,TNF-α,IFN-γ,IL-8,AST,ALT,TBIL levels in serum of mice in each administra-tion group were significantly decreased(P<0.05),pathological changes in liver tissue were improved to varying degrees,and the index improvement degree in combination group was superior to Astragali radix injection group and entecavir group (P<0.05). CONCLUSIONS:Astragali radix injection combined with entecavir helps to down-regulate the expressions of inflammatory cyto-kines of model mice with hepatitis B,and improve the liver function. The combination use has better effect than single use.
RÉSUMÉ
OBJECTIVE:To systematically evaluate the efficacy and safety of Astragali radix injection combined with trimetazi-dine in the treatment of viral myocarditis (VMC),and provide evidence-based reference for clinical treatment. METHODS:Re-trieved from PubMed,CBM,CJFD,VIP and Wanfang Database,randomized controlled trials(RCT) about Astragali radix injec-tion combined with trimetazidine(test group)vs. western conventional treatment and(or)trimetazidine alone(control group)in the treatment of VMC were collected. After quanlity evaluation and data extraction,Meta-analysis was conducted by using Rev Man 5.2 statistics software. RESULTS:A total of 14 RCT were included,involving 1 324 patients. Results of Meta-analysis showed the total effective rate[RR=1.32,95%CI(1.25,1.39),P<0.001],lactate dehydrogenase level [MD=-99.80,95%CI(-135.52,-64.08), P<0.001] and creatine kinase level [MD=-49.66,95%CI(-80.43,-18.90),P=0.002] in test group were significantly lower than those of control group,there was sgnificant difference between 2 groups;and there was no significant difference in the inci-dence of adverse reactions[RR=0.86,95%CI(0.48,1.55),P=0.61]. CONCLUSIONS:Astragali radix injection combined with trimetazidine has good efficacy and safety in the treatment of VMC.