阿托伐他汀联合 HRZ 致肝损伤生化特点.

Objective To provide theoretical basis for the rational use of drugs in clinic， the biochemical characteristics of liver injury induced by Atorvastatin Combined with HRZ（Isoniazid Rifampicin and Pyrazinamide） were analyzed in animal model. Methods Eighty 8 week old SPF SD rats with half males and females were divided into four groups: control group，atorvastatin group，HRZ group，atorvastatin+HRZ group. According to the human mouse drug dose conversion，mice were given corresponding drugs by gavage．Hepatic function index of rats （the Total bilirubin， Direct bilirubin， Indirect bilirubin，Aspartate aminotransferase， Alanine aminotransferase， Alkaline phosphatase） were detected by blood from the femoral artery and hepatic function index of rats in each group on 10 d，20 d，40 d．Results There were significant difference in the anmmistrated group on 10，20，40 days with higher TBIL， DBIL， IBIL than that in control group； in the admimistrated group on Day 10， combined treatment group was higher than that in cotrol group and there were significant differences in ALT；in the process of treatmen， there was statistical difference； ALP was administered for 20 days and the 40 day， atorvastatin there was HRZ group was statistically different in group HRZ， severe injury ， combination group compared with HRZ group had statistically significant difference. Conclusions The liver injury in the three experimental groups is mild and moderate， and the liver damage is mainly cholestasis type. The most severe hepatic injury caused by Atorvastatin Combined with HRZ is aggravated by the prolonged use of drugs. [ABSTRACT FROM AUTHOR]