期刊文献+

聚乙二醇干扰素联合恩替卡韦治疗慢性乙肝的临床分析 被引量:7

Clinical Analysis of Pegylated Interferon Combined With Entecavir in the Treatment of Chronic Hepatitis B
下载PDF
导出
摘要 目的探讨聚乙二醇干扰素联合恩替卡韦治疗慢性乙肝的临床效果。方法选取我院收治的140例进行研究,按照抛硬币法进行分组,对照组70例,采用单纯聚乙二醇干扰素治疗,观察组70例,采用聚乙二醇干扰素联合恩替卡韦治疗,比较两组的治疗效果。结果在临床总有效率方面,联合用药治疗的观察组效果更加理想,组间差异存在统计学意义(P <0.05);且治疗48周后,观察组患者的HBeAg转阴率、HBV-DNA转阴率、ALT复常率均明显高于对照组(P <0.05)。结论采用聚乙二醇干扰素联合恩替卡韦方式对慢性乙肝患者实施治疗效果显著,可改善患者病情。 Objective To investigate the clinical effect of pegylated interferon combined with entecavir on chronic hepatitis B. Methods One hundred and forty patients admitted to our hospital were selected for study and grouped according to the coin toss method. Seventy patients in the control group were treated with pegylated interferon alone, and seventy patients in the observation group were treated with pegylated interferon combined with entecavir. The treatment effects of the two groups were compared. Results In terms of total clinical efficiency, the observation group of combined drug treatment was more effective and the diference between the groups was statistically signifcant (P 〈 0.05);and after 48 weeks of treatment, the HBeAg negative rate and HBV-DNA of the observation group were observed. The negative rate and the ALT normalization rate were signifcantly higher than those in the control group (P 〈 0.05). Conclusion The use of pegylated interferon combined with entecavir in the treatment of chronic hepatitis B patients has significant efect, can improve the patient's condition.
作者 梁冰 殷海燕 LIANG Bing;YIN Haiyan(Internal Medicine Department,Jilin Province Liver and Gallbladder Disease Hospital,Changchun Jilin 130062,China)
出处 《中国继续医学教育》 2018年第29期133-135,共3页 China Continuing Medical Education
关键词 聚乙二醇干扰素 恩替卡韦 慢性乙肝 HBeAg转阴率 HBV-DNA转阴率 ALT复常率 negative rate HBV-DNA negative rate ALT normalization rate
  • 相关文献

参考文献11

二级参考文献85

  • 1中华医学会肝病学分会,中华医学会感染病学分会.慢性乙型肝炎防治指南[J].中华流行病学杂志,2006,27(1):79-88. 被引量:389
  • 2中华医学会肝病学分会 中华医学会感染病学分会.慢性乙型肝炎防治指南.中华肝脏病杂志,2010,19(1):3760-3769.
  • 3Kittner JM, Sprinzl MF, Grambihler A, et al. Adding pegylated interferon to a current nucleos (t)ide therapy leads to HBsAg seroconversion in a subgroup of patients with chronic hepatitis B. J Clin Virol,2012,54:93-95.
  • 4Chen CC, Wang PC, Chang HW, et al. Safety and efficacy of two- step peginterferon a-2a treatment in patients of chronic hepatitis B with acute exacerbation. J Virol Hepat, 2012, 19:161-172.
  • 5Mangano C, Squadrito G, Cacciola I,et al. Effectiveness of add- on pegylated interferon alfa-2a therapy in a lamivudine-treated patient with chronic hepatitis B. Ann Hepatol,2011,10 :84-87.
  • 6中华医学会肝脏病分会和感染病学分会.慢性乙型肝炎防治指南(2010年版).实用肝脏病杂志,2011,19:13-24.
  • 7Chen X, Cao Z, Liu Y, et al. Potent hepatitis B surface antigen response to treatment of hepatitis-B-c-antigen-positive chronic hepatitis B with α-interferon plus a nucleos (t) ide analog. J Gastroenter Hepat, 2012, 27:481-486.
  • 8European Association for the Study of the Liver. EASL clinical practice guidelines: management of chronic hepatitis B. J Hepatol,2009, 50 : 227-242.
  • 9Piccolo P,Lenci I, Demelia L,et al. A randomized controlled trail of pegylated interferon-alpha 2a plus adefovir dipivoxil for hepatitis B e antigen-negative chronic hepatitis B. Antiviral Therapy, 2009,14 : 1165-1174.
  • 10Mareellin P,Avila C, Wursthorn K, et al. Telbivudine plus peg- interferon in HBeAg-positive chronic hepatitis B-very potent antiviral efficacy but risk of peripheral neuropathy. In: EASL 2010.

共引文献116

同被引文献61

引证文献7

二级引证文献24

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部