首页|拉米夫定、替诺福韦、依非韦伦联合治疗艾滋病效果

拉米夫定、替诺福韦、依非韦伦联合治疗艾滋病效果

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目的 观察拉米夫定(3TC)、替诺福韦(TDF)、依非韦伦(EFV)联合治疗艾滋病临床效果及不良反应.方法 选择2014-2016年我院收治的艾滋病病人60例,按照年龄和CD4细胞计数进行分组,均给予3TC、TDF、EFV联合治疗,比较不同CD4水平、不同年龄段病人治疗后CD4细胞以及艾滋病病毒载量的变化.结果 各组病人治疗后CD4水平均较治疗前显著上升,治疗前CD4细胞在(200~350)×106/L的病人比CD4细胞<200×106/L的病人、低年龄组病人比高年龄组病人CD4细胞数上升更多(t=2.238~2.478,P<0.05).各组病人治疗后艾滋病病毒载量均较治疗前显著下降,但不同CD4水平组间、不同年龄段组间比较差异无显著性(P>0.05).不良反应较少且病人均能耐受.结论 3TC、TDF、EFV联合治疗艾滋病总体疗效好,不良反应少,病人耐受性好.高CD4水平者较低CD4水平者、低年龄段者较高年龄段者疗效更佳.
CLINICAL EFFECT OF LAMIVUDINE COMBINED WITH TENOFOVIR DISOPROXIL FUMARATE AND EFAVIRENZ IN TREATMENT OF AIDS
Objective To investigate the clinical effect and adverse effects of lamivudine (3TC) combined with tenofovir disoproxil fumarate (TDF) and efavirenz (EFV) in the treatment of AIDS.Methods A total of 60 AIDS patients who were admitted to our hospital from 2014 to 2016 were enrolled and treated with 3TC combined with TDF and EFV.The changes in CD4 cells and AIDS viral load after treatment were compared between the patients with different CD4 levels or different ages.Results All groups had a significant increase in the CD4 level after treatment;the patients with CD4 cells (200-350)× 106/L before treatment had a significantly greater increase in CD4 cells than those with <200 × 106/L before treatment,and the low-age group had a significantly greater increase in CD4 cells than the high-age group (t=2.238-2.478,P<0.05).All groups had a significant reduction in AIDS viral load after treatment,and there was no significant difference between the patients with different CD4 levels or different ages.There were few adverse reactions which were well tolerable in these patients.Conclusion In AIDS patients,3TC combined with TDF and EFV has a good overall clinical effect,few adverse effects,and good tolerability.

acquired immunodeficiency syndromelamivudinetenofovir disoproxil fumarateefavirenzdrug therapy,combinationtreatment outcome

黄敬泉、王传香、钟启盛

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兴国县人民医院感染内科,江西兴国342400

获得性免疫缺陷综合征 拉米夫定 替诺福韦 依非韦伦 药物疗法,联合 治疗结果

赣州市卫生和计划生育委员会科研计划项目

2016-2-58

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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