首页|替比夫定、阿德福韦酯联用与恩替卡韦单药治疗失代偿期乙型肝炎肝硬化的效果对比观察

替比夫定、阿德福韦酯联用与恩替卡韦单药治疗失代偿期乙型肝炎肝硬化的效果对比观察

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目的 观察并比较替比夫定、阿德福韦酯联用与恩替卡韦单药治疗失代偿期乙型肝炎肝硬化的效果.方法 选取2015年5月~2016年6月嘉善县第一人民医院收治的失代偿期乙型肝炎肝硬化患者125例,随机分为对照组63例和观察组62例.对照组采用恩替卡韦单药治疗,观察组采用替比夫定、阿德福韦酯联用治疗.观察2组的肝功能指标及HBV-DNA转阴率以及HBeAg血清学的转换情况.结果观察组治疗12个月的ALT、ALB、TBil、PTA、Child-pugh评分相对于对照组,差异无统计学意义.2组在3个月、6个月、12个月的HBV-DNA转阴率以及HBeAg血清学的转换情况比较差异无统计学意义.结论 替比夫定、阿德福韦酯联用与恩替卡韦单药治疗失代偿期乙型肝炎肝硬化均有着明显的效果,副作用较少,临床可根据患者实际情况进行药物的选择.
Observation on the effect of telbivudine combined with adefovir dipivoxil and entecavir monotherapy in the treatment of decompensated hepatitis B cirrhosis
Objective To observe and compare the efficacy of telbivudine combined with adefovir dipivoxil and entecavir monotherapy in the treatment of decompensated hepatitis B cirrhosis. Methods 125 patients with decompensated hepatitis B cirrhosis selected in May 2015 to June 2016 were divided into control group (n=63) and observation group (n=62). The control group was treated with entecavir monotherapy, the observation group was treated with telbivudine combined with adefovir dipivoxil. The liver function indices and the conversion rate of HBV-DNA and HBeAg seroconversion in two groups were observed. Results There was no significant difference in ALT, ALB, TBil, PTA and Child-pugh scores after 12 months of treatment between the observation group and the control group.There was no significant difference in HBV-DNA negative rate and HBeAg serology conversion between the two groups at 3 months, 6 months and 12 months. Conclusion Telbivudine combined with adefovir dipivoxil and entecavir monotherapy in the treatment of decompensated hepatitis B cirrhosis have a significant effect, fewer side effects, clinical drug selection according to the actual situation of patients.

hepatitis Bcirrhosisdecompensation

徐明丽

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嘉善县第一人民医院 感染科,湖北 武汉 314100

乙型肝炎 肝硬化 失代偿

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):2017.37(11)
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