首页|替诺福韦联合恩替卡韦治疗慢性乙型肝炎的临床研究

替诺福韦联合恩替卡韦治疗慢性乙型肝炎的临床研究

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目的 探讨替诺福韦联合恩替卡韦治疗慢性乙型肝炎患者的临床效果.方法 82例慢性乙型肝炎患者随机分为两组各41例.在常规护肝治疗基础上,对照组予以恩替卡韦治疗,观察组予以替诺福韦联合恩替卡韦治疗.比较两组的临床疗效、炎性因子水平以及不良反应.结果 观察组的治疗总有效率为90.24%,显著高于对照组的70.73%(P<0.05).治疗6个月后,观察组的血清TGF-β1、IL-15、IL-16水平均显著低于对照组(P<0.05).两组的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 替诺福韦联合恩替卡韦治疗慢性乙型肝炎患者可明显提升抗病毒效果,抑制机体炎性反应.
Clinical Study of Tenofovir Combined with Entecavir in the Treatment of Chronic Hepatitis B
Objective To explore the clinical effect of tenofovir combined with entecavir in the treatment of patients with chronic hepatitis B.Methods 82 patients with chronic hepatitis B were randomly divided into two groups,with 41 cases in each group.On the basis of routine liver protection treatment,the control group was treated with entecavir,while the observation group was treated with tenofovir combined with entecavir.The clinical efficacy,levels of inflammatory cytokines,and adverse reactions were compared between two groups.Results The total effective rate of the observation group was 90.24%,significantly higher than 70.73%of the control group(P<0.05).After 6 months of treatment,the levels of serum TGF-β1,IL-15 and IL-16 of the observation group were significantly lower than those of the control group(P<0.05).No statistically significant difference was found in the total incidence of adverse reactions between the two groups(P>0.05).Conclusions Tenofovir combined with entecavir in the treatment of patients with chronic hepatitis B can significantly enhance the antiviral effect and inhibit the inflammatory reaction of the body.

TenofovirEntecavirChronic hepatitis BAntiviral effectInflammatory cytokine

王红、黄海霞

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周口市传染病医院内科,河南周口 466000

替诺福韦 恩替卡韦 慢性乙型肝炎 抗病毒效果 炎性因子

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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