Клинико-биохимическое обоснование озонотерапии при хронических вирусных гепатитах в и с

AIM. To explore the clinical and pathogenic role of lipid peroxidation, protective antioxidant system in association with biochemical indicators of liver functional state, and the effect of intravenous ozone therapy on these processes in patients with chronic viral hepatitis B and C, with the presence of liver cell cytolysis. METHODS. Lipid peroxidation, antioxidant protection and biochemical indicators of liver functional state and their relation to liver functional state were studied in 184 patients with chronic viral hepatitis B and C using comprehensive clinical and biochemical methods. Intravenous ozone therapy was used in 50 patients with chronic hepatitis B and C to correct membrane disaorders. RESULTS. Ozone therapy has shown a positive effect on lipid peroxidation processes and activity of antioxidant system, stimulating oxygen-dependent processes, improving liver function and well-being of patients with chronic viral hepatitis B and C. The association between lipid peroxidation products blood level and the intensity of liver cell cytolysis was revealed, there was no such association with the viral load level. CONCLUSION. In patients with chronic viral hepatitis B and C with active liver cell cytolysis, ozone therapy leads to clinical remission and normalizes liver functional state, lipid peroxidation and antioxidant enzymes activity.