В период эпидемии неалкогольной жировой болезни печени особенно актуальным является ее лечение для профилактики не только сердечно-сосудистых заболеваний, но и хронической болезни почек. Основной задачей лечения неалкогольной жировой болезни печени становится предотвращение развития цирроза печени. Препарат Гепабене широко применяется для решения этой задачи. В обзорной статье приведены данные клинических исследований, подтверждающих эффективность и безопасность Гепабене.
During the epidemic of nonalcoholic fatty liver disease particularly relevant is its treatment for the prevention of not only cardiovascular disease, but chronic kidney disease. The primary goal of treatment of nonalcoholic fatty liver disease is preventing the development of cirrhosis. The drug Hepabene widely used to solve this problem. The article reviews data from clinical studies supporting the effective and safety of Gepabene.
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1. Omagari K, Kadokawa Y, Masuda J et al. Fatty liver in non-alcoholic non overweight Japanese adults: incidence and clinical characteristics. J Gastroenterol Hepatol 2002; p. 1098–105.
2. Hilden M, Christoffersen P, Juhl E, Dalgaard JB. Liver histology in a 'normal' population – examinations of 503 consecutive fatal traffi c casualties. Scand J Gastroenterol 1977; 12 (5): 593–7.
3. Shen L, Fan JG, Shao Y et al. Prevalence of nonalcoholic fatty liver among administrative officers in Shanghai: an epidemiological survey. World J Gastroenterol 2003; 9: 1106–10.
4. Drapkina O.M., Ivashkin V.T. Epidemiologicheskie osobennosti nealkogol'noi zhirovoi bolezni pecheni v Rossii (Rezul'taty otkrytogo mnogotsentrovogo prospektivnogo issledovaniia-nabliudeniia DIREG L 01903. RZhGGK. 2014; 24 (4): 32–8. [in Russian]
5. Laxmi MV, Mouen K, Naga Ch. Nonalcoholic Fatty Liver Disease and Cardiovascular Risk. Curr Gastroenterol Rep 2009, 11: 50–5.
6. Bonora E, Targher G. Increased risk of cardiovascular disease and chronic kidney disease in NAFLD. Nat Rev Gastroenterol Hepatol 2012; 9 (7): 372–81.
7. Williams T. Metabolic Syndrome: Nonalcoholic Fatty Liver Disease. FP Essent 2015; 435: 24–9.
8. Akbar DH, Kawther AH. Non-alcoholic fatty liver disease and metabolic syndrome: what we know and what we don't know. Med Sci Monit 2006; 12 (1): RA23-6.
9. Preisig R. Supplements to the editorial “Liver protection therapy”. Schweiz Rundsch Med Prax 1970; 59: 1559–60.
10. Okovityi S.V., Bezborodkina N.N., Uleichik S.G., Shulenin S.N. Gepatoprotektory. M.: GEOTAR-Media, 2010. [in Russian]
11. Seeff LB, Curto TM, Szabo G et al. Herbal product use by persons enrolled in the hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) Trial. Hepatology 2008; 47 (2): 605–12.
12. Feher J, Deak G, Muzes G et al. Liver-protective action of silymarin therapy in chronic alcoholic liver diseases. Orv Hetil 1989; 130 (51): 2723–7.
13. Hashemi SJ, Hajiani E, Sardabi EH. A placebocontrolled trial of silymarin in patients with nonalcoholic fatty liver disease. Hepat Mon 2009; 9 (4): 265–70.
14. Rambaldi A, Bradly PJ, Iaquinto G et al. Milk thistle for alcoholic and/or hepatitis B or C liver diseases – a systematic Cochrane hepato-biliary group review with meta-analyses of randomized clinical trials. Am J Gastroenterol 2005; 100 (11): 2583–91.
15. Ferenci P, Dragosics B, Dittrich H et al. Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver. J Hepatol 1989; 9 (1): 105–13.
16. Velussi M, Cernigoi AM, De Monte A et al. Longterm (12 months) treatment with an anti-oxidant drug (silymarin) is effective on hyperinsulinemia, exogenous insulin need and malondialdehyde levels in cirrhotic diabetic patients. J Hepatol 1997; 26 (4): 871–9.
17. Maev I.V., Dicheva D.T., Andreev D.N., Gurtovenko I.Iu. Primenenie preparata Gepabene v terapii beskamennogo kholetsistita. Consilium Medicum. 2012; 14 (8): 36–40. [in Russian]
18. Instruktsiia po primeneniiu lekarstvennogo preparata Gepabene. http://grls.rosminzdrav.ru/ Grls_View_v2.aspx?idReg=29183&t= [in Russian]
Авторы
Г.С.Аникин*
ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2;
ФГБУ Поликлиника №3 Управления делами Президента РФ. 129090, Россия, Москва, пер. Грохольский, д. 31
*medi321@mail.ru
________________________________________________
G.S.Anikin*
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119992, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2;
Out-Patient Сlinic №3 of Administration of the President of the Russian Federation. 129090, Russian Federation, Moscow, per. Grokhol'skii, d. 31
*medi321@mail.ru