首页|替比夫定联合阿德福韦酯对乙肝患者肝功能及病毒转归的影响分析

替比夫定联合阿德福韦酯对乙肝患者肝功能及病毒转归的影响分析

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目的 观察替比夫定联合阿德福韦酯抗乙肝病毒的效果.方法 选取德清县人民医院感染科2014年1月~2016年2月收治疗的确诊为慢性乙肝的患者82例,按随机数字表发分为观察组和对照组,各41例,对照组患者给予阿德福韦酯治疗,观察组患者给予替比夫定联合阿德福韦酯治疗,随访并记录2组患者Child-Pugh评分、谷氨酸-丙酮酸转氨酶ALT、总胆红素TBIL、谷草转氨酶AST、白蛋白ALB、HBV-DNA转阴率、HbeAg血清转换率情况,采用统计学方法对数据进行分析.结果 ①观察组在治疗后Child-Pugh评分、ALT值分别为(4.01±0.79)分、(37.19±4.82)U/L,均优于对照组(5.46±1.16)分、(61.49±9.78)U/L),且差异均有显著性(P<0.05).②观察组在治疗后TBIL、AST、ALB分别为(34.91±5.49)μmol/L、(56.49±5.28)U/L、(45.51±4.24)g/L),均优于对照组(61.62±10.06)μmol/L、(78.64±8.16)U/L、(38.76±3.21)g/L),且差异均有统计学意义(P<0.05).③观察组在治疗后为HBV-DNA转阴率和HbeAg血清转换率分别为82.93%、58.54%,均高于对照组58.54%、29.27%,且差异均有统计学意义(P<0.05).结论 替比夫定联合阿德福韦酯抗乙肝病毒效果良好,优于单独用药,值得临床进一步研究和应用.
Observing the influences of liver function and virus outcome with telbivudine combined with adefovir dipivoxil
Objective To observe the clinical effects of anti-hepatitis B virus with telbivudine combined with adefovir dipivoxil.Methods 82 cases of patients diagnosed with chronic hepatitis B from January 2014 to February 2016, were randomly divided into two groups, the control group were treated with adefovir ester treatment, the observation group were treated with telbivudine combined with adefovir dipivoxil treatment, patients were followed up and recorded Child-Pugh score, aspartate aminotransferase ALT, total bilirubin TBIL, aspartate aminotransferase AST, albumin ALB, HBV-DNA negative rate, HbeAg seroconversion rate case, the use of statistical methods for data analysis.Results After treatment, the observation group Child-Pugh score, ALT values were(4.01±0.79)points,(37.19±4.82)U/L, were better than the control group(5.46±1.16)points,(61.49±9.78)U/L, and the differences were statistically significant (P<0.05).Observation group after treatment TBIL, AST, ALB, respectively(34.91±5.49)μmol/L,(56.49±5.28)U/L,(45.51±4.24)g/L, were better than the control group(61.62±10.06)μmol/L,(78.64±8.16)U/L,(38.76±3.21)g/L, and the differences were statistically significant (P<0.05).The observation group after treatment for HBV-DNA negative rate and HbeAg seroconversion rate(82.93%, 58.54%)respectively were higher(58.54%, 29.27%), and the difference was significant (P<0.05).Conclusion Telbivudine combined with adefovir dipivoxil anti-HBV effect is good, better than medication alone is worthy of further research and application.

telbivudineadefovirhepatitis B virus

唐翾、陈丽丽

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德清县人民医院 感染科,浙江 湖州 313200

替比夫定 阿德福韦酯 乙肝病毒

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(7)
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