首页|舒肝益脾颗粒联合注射用重组人干扰素α2b治疗慢性乙型肝炎患者的效果

舒肝益脾颗粒联合注射用重组人干扰素α2b治疗慢性乙型肝炎患者的效果

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目的:观察舒肝益脾颗粒联合注射用重组人干扰素α2b治疗慢性乙型肝炎患者的效果.方法:选取2020年6月至2023年6 月该院收治的 86 例慢性乙型肝炎患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各 43 例.对照组采用注射用重组人干扰素α2b治疗,研究组在对照组基础上联合舒肝益脾颗粒治疗.比较两组治疗总有效率、乙肝病毒脱氧核糖核酸(HBV-DNA)转阴率、肝功能指标[血清丙氨酸氨基转移酶(ALT)、总胆红素、天门冬氨酸氨基转移酶(AST)和白蛋白]水平、肝纤维化指标[血清IV型胶原(C-IV)、层粘连蛋白(LN)和透明质酸]水平、炎性指标[血清C反应蛋白(CRP)、降钙素原]水平、T细胞亚群指标(CD3+、CD4+)水平和不良反应发生率.结果:研究组治疗总有效率为 95.35%,高于对照组的 79.07%,差异有统计学意义(P<0.05);研究组HBV-DNA转阴率为 93.02%,明显高于对照组的 74.42%,差异有统计学意义(P<0.05);治疗后,研究组血清白蛋白和CD3+、CD4+水平高于对照组,血清ALT、总胆红素、AST、C-IV、LN、透明质酸、CRP和降钙素原水平低于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:舒肝益脾颗粒联合注射用重组人干扰素α2b治疗慢性乙型肝炎患者可提高治疗总有效率、HBV-DNA转阴率及CD3+、CD4+水平,改善肝功能指标水平,降低肝纤维化指标和炎性指标水平,效果优于单纯注射用重组人干扰素α2b治疗.
Effects of Shugan Yipi granules combined with Recombinant Human Interferon α2b for Injection in treatment of patients with chronic hepatitis B
Objective:To observe effects of Shugan Yipi granules combined with Recombinant Human Interferon α2b for Injection in treatment of patients with chronic hepatitis B.Methods:A prospective study was conducted on 86 patients with chronic hepatitis B admitted to the hospital from June 2020 to June 2023.According to the random number table method,they were divided into study group and control group,43 cases in each group.The control group was treated with Recombinant Human Interferon α2b for Injection,while the study group was treated with Shugan Yipi granules on the basis of that of the control group.The total effective rate,the hepatitis B virus deoxyribonucleic acid(HBV-DNA)negative conversion rate,the liver function indexes[serum alanine aminotransferase(ALT),total bilirubin,aspartate aminotransferase(AST)and albumin]levels,the liver fibrosis indexes[serum type IV collagen(C-IV),laminin(LN)and hyaluronic acid]levels,the inflammatory indexes[serum C-reactive protein(CRP),procalcitonin]levels,the T cell subgroup indexes(CD3+,CD4+)levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the study group was 95.35%,which was higher than 79.07%in the control group,and the difference was statistically significant(P<0.05).The HBV-DNA negative conversion rate in the study group was 93.02%,which was significantly higher than 74.42%in the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of serum albumin,CD3+and CD4+in the study group were higher than those in the control group;the serum ALT,total bilirubin,AST,C-IV,LN,hyaluronic acid,CRP and procalcitonin levels were lower than those in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Shugan Yipi granules combined with Recombinant Human Interferon α2b for Injection in the treatment of the patients with chronic hepatitis B can improve the total effective rate of treatment,the HBV-DNA negative rate,the CD3+and CD4+levels,improve the levels of liver function indexes,and reduce the levels of liver fibrosis indexes and inflammatory indexes.Moreover,it is superior to single Recombinant Human Interferon α2b for Injection treatment.

Shugan Yipi granulesRecombinant Human Interferon α2b for InjectionChronic hepatitis BLiver fibrosisLiver functionT cell subset

白山岭、李晓华

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河南省郑州市第六人民医院肝病科,河南 郑州 450015

舒肝益脾颗粒 注射用重组人干扰素α2b 慢性乙型肝炎 肝纤维化 肝功能 T细胞亚群

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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