한방병원에 입원한 환자 147명의 간기능 검사에 대한 후향적 관찰
Retrospective Observation of Liver Function Test in 147 Patients Admitted to Korean Medicine Hospital
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study was to evaluate the changes of liver function test before and after treatment in patients admitted to Korean medicine hospital. We checked liver function test level (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, total bilirubin, direct bilirubin) of 147 patient who admitted in Korean medicine hospital from July 1, 2015 to June 30, 2018. The subjects were selected those who took herbal medicine continuously during the admission period and who performed liver function test on admission and before discharge. And the subjects were excluded those who had a history of liver and biliary disease at the time of admission or who took hepatoprotectants. Aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase significantly decreased compared with the values of admission(p<0.05), but total bilirubin and direct bilirubin were not significantly changed(p>0.05). On admission 31 patients(21.1%) had abnormal liver function and 6 patients(4.1%) had liver injury while 19 patients(12.9%) had abnormal liver function and 6 patients(4.1%) showed liver injury before discharge. This study suggests that herbal medicine may not injure liver function.
Abstract
The purpose of this study was to evaluate the changes of liver function test before and after treatment in patients admitted to Korean medicine hospital. We checked liver function test level (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, total bilirubin, direct bilirubin) of 147 patient who admitted in Korean medicine hospital from July 1, 2015 to June 30, 2018. The subjects were selected those who took herbal medicine continuously during the admission period and who performed liver function test on admission and before discharge. And the subjects were excluded those who had a history of liver and biliary disease at the time of admission or who took hepatoprotectants. Aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase significantly decreased compared with the values of admission(p<0.05), but total bilirubin and direct bilirubin were not significantly changed(p>0.05). On admission 31 patients(21.1%) had abnormal liver function and 6 patients(4.1%) had liver injury while 19 patients(12.9%) had abnormal liver function and 6 patients(4.1%) showed liver injury before discharge. This study suggests that herbal medicine may not injure liver function.
참고문헌 (17)
- Lee WM, "Recognizing drug-induced liver injury: Current problem, possible solution", Toxicol Pathol, 33(1), pp.155~164 (2005)
- Chae HB, "Clinical features and diagnosis of drug-induced liver injury", Clinical and Molecular Hepatology, 10(1s), pp.7~18 (2004)
- Kasper D, "Harrison's Principles of Internal Medicine", pp.2897~2905 (2017), McGraw-Hill Education Korea, Ltd. and MIP
- Hanbangyaglihag pyeonchanwiwonhoe, "Hanbangyaglihag", pp.8~15 (2015), Shinil books
- 윤영주, "한약 복용이 간기능에 미치는 영향: 국내 문헌에 대한 체계적 고찰", 대한한방내과학회지, 30(1), pp.153~172 (2009), 대한한방내과학회
- Benichou C, "Criteria of drug-induced liver disorders-Report of an international consensus meeting", J Hepatol, 11(2), pp.272~276 (1990)
- Danan G, "Causality assessment of adverse reactions to drugs—I. A novel method based on the conclusions of international consensus meetings: Application to drug-induced liver injuries", J Clin Epidemiol, 46(11), pp.1323~1330 (1993)
- Suk KT, "A prospective nationwide study of drug-induced liver injury in Korea", Am J Gastroenterol, 107(9), pp.1380~1387 (2012)
- 임재희, "독성간염의 임상적 고찰과 조직소견", 대한내과학회지, 81(1), pp.53~63 (2011), 대한내과학회
- 오수정, "韓藥因性 肝損傷의 有病率에 대한 體系的인 考察", 석사, 한의학과 한방내과학전공, pp.2014
- Jeong TY, "A prospective study on the safety of herbal medicines used alone or with conventional medicines", J. Ethnopharmacol, 143(3), pp.884~888 (2012)
- Kim NH, "Liver enzyme abnormalities during concurrent use of herbal and conventional medicines in Korea: a retrospective study", Phytomedicine, 18(14), pp.1208~1213 (2011)
- 김동민, "1개월 이상 한약을 복용한 101명의 간기능 검사에 대한 후향적 관찰", 대한한의학회지, 31(2), pp.149~157 (2010), 대한한의학회
- Kang MH, "The clinical study of LFT levels in 117 out-patients while taking herbal medicine for 6 months", J Int Korean Med, 28, pp.106~112 (2007)
- Joo JH, "Effect of Liver function by Administration period of Herbal Medication", J Int Korean Med, 34, pp.148~154 (2013)
- Kim GY, "The Study on the Change of Liver Function test in Patients Admitted to Oriental Medicine Hospital for Short Term", master's, pp.2018
- Lee DY, "The Distribution of AST, ALT in Long-term Admitted Patients after Taking Herbal Medicine", J Int Korean Med, 23, pp.142~148 (2002)
