首页|阿德福韦酯联合恩替卡韦治疗慢性乙型肝炎的疗效观察

阿德福韦酯联合恩替卡韦治疗慢性乙型肝炎的疗效观察

To observe the curative effect of Adefovir and entecavir Cave in the treatment of chronic hepatitis B

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目的:观察阿德福韦酯联合恩替卡韦治疗慢性乙型肝炎的疗效。方法:随机抽取我院2007-2009年门诊及住院病例32例,将其分为治疗组、对照组。治疗组16例,对照组16例。治疗组给予阿德福韦酯10mg qd 联合恩替卡韦片0.5mg qd 疗程24月。对照组给予拉米夫定100mg qd 疗程24月。所有病例均定期监测:(1)生化学指标(主要包括总胆红素<TP>、直接胆红素<DB>、间接胆红素<IB>、谷氨酸转氨酶<GPT 或 ALT>、门冬氨酸转移酶<AST 或 AOT>等),治疗开始后,每月检查1次、连续3次,以后随病情改善可每3个月1次;2)病毒学标志,主要包括 HBV DNA 和 HBeAg、抗-HBe,一般治疗开始后1-3个月检测1次,以后每3-6个月检测1次;3)根据病情需要,定期检测血常规、血清肌酐和肌酸激酶等指标;4)每6个月进行 YYMD 检查。结果:治疗组:1、完全应答6。2、部分应答10。3、无应答0例。治疗有效率100%。对照组:1、完全应答2例。2、部分应答10例。3、无应答4例,治疗有效率75%,两组比较有显著性差异(P<0.05)。结论:阿德福韦酯联合恩替卡韦是治疗慢性乙型肝炎的有效方案。
Objective: To observe the curative effect of Adefovir and entecavir Cave in the treatment of chronic hepatitis B.Methods: Randomly selected from our hospital during 2007-2009 years of outpatient and inpatient cases 32 cases, randomly divided into treatment group, control group.The treatment group of 16 cases, 16 cases in the control group. Al cases were regularly monitored: (1) biochemical indicators, after the start of treatment 1 times a month, 3 times in a row, with improved 1 times every 3 months; (2) viral markers, including HBV DNA and HBeAg, anti -HBe, general y after the start of treatment 1 months after 1-3 detection, every 3-6 months testing 1; (3) according to the condition, periodic testing of blood, serum creatinine and creatine kinase index. Results: The treatment group:1、 4 cases, complete response.2、In 12 cases, partial response.3, no response in 0 cases.The effective rate of treatment 100%.Control group:1、 2 cases, complete response.2、In 10 cases, partial response.3、 no response in 4 cases, the effective rate of treatment was 75%, there was significant difference between the two groups (P<0.05).Conclusion: Adefovir and entecavir Cave is effective in treatment of chronic hepatitis B.

adefovirentecavir lamivudineChronic hepatitis BThe rate of HBeAg seroconversion

谢义国、si-chuan sheng、ji-tang xian、diyirrenminyiyuan leierke

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金堂县第一人民医院内二科 610400

阿德福韦酯 恩替卡韦 拉米夫定 慢性乙型肝炎 HBeAg 血清学转换率

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(8)
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