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中国临床药理学与治疗学 ›› 1997, Vol. 2 ›› Issue (3): 183-185.

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吲哚美辛对梗阻性黄疸血清β2-MG 的影响

陈晓鹏, 刘中金, 周洸, 李涛, 杨军1, 程光华1   

  1. 皖南医学院弋矶山医院普外科, 1核医学科, 芜湖 241001
  • 收稿日期:1997-08-05 修回日期:1997-08-25 出版日期:1997-09-26 发布日期:2020-12-04
  • 作者简介:陈晓鹏,男,30岁,主治医师,医学硕士。研究方向为梗阻性黄疸的病理生理变化。刘中金,男,61岁,硕士生导师,外科学教授,主任医师。主要从事肝胆疾病的临床研究。

effects of indomethacin on serum β2-MG in patient with obstructive jaundice

Chen Xiaopeng, Liu Zhongjin, Zhou Guang, Li Tao, Yang Jun, Chen Guanghua   

  1. Department of General Srgery, Yiji shan Hospital, Wannan Medical College, Wuhu 241001
  • Received:1997-08-05 Revised:1997-08-25 Online:1997-09-26 Published:2020-12-04

摘要: 目的 观察吲哚美辛(Ind)对梗阻性黄疸(梗黄)血清β2-MG 水平的影响。方法 用放射免疫分析法检测18 例服用Ind 的梗黄患者。服药前后及术后第4 天血清及尿液中β2-微球蛋白(β2-MG)的水平, 并同期检测其血浆血栓素(TXA2)、前列环素(PGI2)的含量。结果 服用Ind后随着TXA2/PGI2 的下降, 血清β2-MG 亦明显下降(P<0.05), 但不能恢复至正常水平, 且尿β2-MG 无变动。结论 Ind 可通过抑制TXA2 的生成, 在一定程度内降低梗黄病人血清β2-MG 的水平。

关键词: 吲哚美辛, 梗阻性黄疸, β2-微球蛋白, 血栓素

Abstract: Aim The effects of indomethacin on serum β2-microglobulin (β2-MG)in obstructive jaundice were to be observed.Methods Serum and urinary β2-MG levels were measured by radioimmunoassay in 18 patients with obstrutive jauadice before and 3 days after oraladministration of imdomethacin, and plasma thromboxane (TXA2), prostacyclin (PGI2)levels were determined in the meanwhile.Results both TXA2/PGI2 and serum β2-MG(P<0.05)decreased signi ficantly after patients took this drug orally.But serum β2-MG could not return tonormal levels, with urinay β2-MG having no obvious changes.Conclusion Indomethacin may decrease serum β2-MG levels to a certain extent in patients with obstructive jaundice by inhibiting the synthesis of TXA2.

Key words: indomethacin, obstructive jaundice, β2-microglobulin, thromboxane

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