首页|恩替卡韦联合还原型谷胱甘肽治疗乙肝肝硬化的效果分析

恩替卡韦联合还原型谷胱甘肽治疗乙肝肝硬化的效果分析

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目的 探讨恩替卡韦联合还原型谷胱甘肽治疗乙肝肝硬化的效果.方法 便利选取2023年2-12月青岛大学附属医院收治的106例乙肝肝硬化患者为研究对象,根据患者入院顺序,分为观察组和对照组,每组53例.对照组采用恩替卡韦进行治疗,观察组在对照组的基础上联合还原型谷胱甘肽进行治疗,比较两组的治疗效果.结果 观察组的总有效率为98.11%,高于对照组的84.91%,差异有统计学意义(χ2=4.371,P<0.05);治疗前,两组谷丙转氨酶(Alanine Transaminase,ALT)、天冬氨酸转氨酶(Aspartate Transaminase,AST)以及总胆红素(Total Bilirubin,TBil)的水平比较,差异无统计学意义(P均>0.05);治疗后,观察组的ALT、AST以及TBil水平均低于对照组,差异有统计学意义(P均<0.05);治疗前,两组CD4+/CD8+、CD4+以及CD8+水平比较,差异无统计学意义(P均>0.05);治疗后,观察组的CD4+/CD8+、CD4+水平于均高于对照组,CD8+低于对照组,差异有统计学意义(P均<0.05);观察组的不良反应发生率为1.00%,低于对照组的8.00%,差异有统计学意义(P<0.05).结论 恩替卡韦联合还原型谷胱甘肽治疗乙肝肝硬化的效果较为明显,可以改善患者的肝功能,提高患者的免疫功能,不良反应较少.
Analysis of the Effect of Entecavir Combined with Reduced Glutathione in the Treatment of Hepatitis B Cirrhosis
Objective To explore the effect of entecavir combined with reduced glutathione in the treatment of hepati-tis B cirrhosis.Methods A total of 106 patients with hepatitis B cirrhosis admitted to the Affiliated Hospital of Qing-dao University from February to December 2023 were conveniently selected as the study objects.According to the ad-mission order of the patients,they were divided into observation group and control group,with 53 cases in each group.The control group was treated with Entecavir,the observation group was treated with reduced glutathione on the basis of the control group,and the therapeutic effect of the two groups was compared.Results The total effective rate of the observation group was 98.11%,which was higher than that of the control group(84.91%),and the difference was statis-tically significant(χ2=4.371,P<0.05).Before treatment,There was no statistically significant difference in the levels of Alanine Transaminase(ALT),Aspartate Transaminase(AST)and Total Bilirubin(TBil)in the two groups(all P>0.05).After treatment,the level of ALT,AST and TBil in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).Before treatment,there was no statistically significant dif-ference in CD4+/CD8+,CD4+ and CD8+ levels between the two groups(all P>0.05).After treatment,the levels of CD4+/CD8+ and CD4+ in observation group were higher than those in control group,and CD8+ was lower than those in con-trol group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the ob-servation group was 1.00%,lower than that in the control group(8.00%),and the difference was statistically signifi-cant(P<0.05).Conclusion The effect of entecavir combined with reduced glutathione in the treatment of hepatitis B cirrhosis is more obvious,which can improve the liver function of patients,improve the immune function of patients,and have fewer adverse reactions.

Reduced glutathioneEntecavirHepatitis B cirrhosisLiver fibrosis

徐晨、杜忠彩、王莉娜

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青岛大学附属医院(平度)感染科,山东青岛 266700

还原型谷胱甘肽 恩替卡韦 乙肝肝硬化 肝纤维化

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
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