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1中草药相关肝损伤临床诊疗指南显示文摘中草药相关肝损伤(herb-induced liver injury,HILI)是指由中药、天然药物及其相关制剂引发的肝损伤。近年来,随着中草药在全球的广泛应用及药品不良反应监测体系的不断完善,HILI报道呈升高趋势,中草药相关因素引起的药物性肝损伤(drug-induced liver injury,DILI)越来越受到关注[1]。 肖小河 李秀惠 朱云 王伽伯 李丽 张涛 刘成海 孙克伟 杨华升 郭玉明 2016临床肝胆病杂志2016,32,5:80
2中草药相关肝损伤临床诊疗指南显示文摘中草药相关肝损伤(herb-induced liver injury,HILI)是指由中药、天然药物及其相关制剂引发的肝损伤。近年来,随着中草药在全球的广泛应用及药品不良反应监测体系的不断完善,HILI报道呈升高趋势,中草药相关因素引起的药物性肝损伤(drug-induced liver injury,DILI)越来越受到关注。肖小河 李秀惠 朱云 王伽伯 李丽 张涛 刘成海 孙克伟 杨华升 郭玉明 2016中国中药杂志2016,41,7:53
3中草药相关肝损伤临床诊疗指南显示文摘中草药相关肝损伤(herb-induced liver injury,HILI)是指由中药、天然药物及其相关制剂引发的肝损伤。近年来,随着中草药在全球的广泛应用及药品不良反应监测体系的不断完善,HILI报道呈升高趋势,中草药相关因素引起的药物性肝损伤(drug-induced liver injury,DILI)越来越受到关注。朱云 王伽伯 李丽 张涛 刘成海 孙克伟 杨华升 郭玉明 2016中国中西医结合杂志2016,36,6:13
4Drug and herb induced liver injury: Council for International Organizations of Medical Sciences scale for causality assessment显示文摘Causality assessment of suspected drug induced liver injury(DILI) and herb induced liver injury(HILI) is hampered by the lack of a standardized approach to be used by attending physicians and at various subsequent evaluating levels. The aim of this review was to analyze the suitability of the liver specific Council for International Organizations of Medical Sciences(CIOMS) scale as a standard tool for causality assessment in DILI and HILI cases. PubMed database was searched for the following terms: drug induced liver injury; herb induced liver injury; DILI causality assessment; and HILI causality assessment. The strength of the CIOMS lies in its potential as a standardized scale for DILI and HILI causality assessment. Other advantages include its liver specificity and its validation for hepatotoxicity with excellent sensitivity, specificity and predictive validity, based on cases with a positive reexposure test. This scale allows prospective collection of all relevant data required for a valid causality assessment. It does not require expert knowledge in hepatotoxicity and its results may subsequently be refined. Weaknesses of the CIOMS scale include the limited exclusion of alternative causes and qualitatively graded risk factors. In conclusion, CIOMS appears to be suitable as a standard scale for attending physicians, regulatory agencies, expert panels and other scientists to provide a standardized, reproducible causality assessment in suspected DILI and HILI cases, applicable primarily at all assessing levels involved. 2014 Baishideng Publishing Group Co., Limited. AllRolf Teschke Albrecht Wolff Christian Frenzel Alexander Schwarzenboeck Johannes Schulze Axel Eickhoff 2014World Journal of Hepatology2014,6,1:11
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