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索磷布韦维帕他韦治疗丙型病毒性肝炎的临床效果观察

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目的 分析索磷布韦维帕他韦治疗丙型病毒性肝炎的临床效果。方法 选择 80 例丙型病毒性肝炎患者,根据住院号单双法分为对照组和观察组,每组 40 例。对照组患者给予利巴韦林联合干扰素治疗,观察组患者给予索磷布韦维帕他韦治疗。比较两组患者治疗前后肝功能指标[凝血酶原活动度(PTA)、谷草转氨酶(AST)、总胆红素(TBIL)]、炎症指标[肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)]及生存质量评分、治疗效果、不良反应发生情况。结果 治疗前,两组患者PTA、AST、TBIL、TNF-α、hs-CRP、IL-6 比较无差异(P>0。05);治疗后,两组PTA、AST、TBIL、TNF-α、hs-CRP、IL-6 均较治疗前改善,且观察组显著优于对照组(P<0。05)。治疗后,观察组生存质量评分(83。27±5。57)分显著优于对照组的(78。25±2。13)分(P<0。05)。观察组总有效率 95。00%(38/40)高于对照组的 75。00%(30/40)(P<0。05)。观察组不良反应发生率 7。50%(3/40)显著低于对照组的 40。00%(16/40)(P<0。05)。结论 索磷布韦维帕他韦对于丙型病毒性肝炎的治疗效果确切,有利于更好改善患者的炎症状况,改善肝功能和生存质量,安全性高,值得推广。
Clinical observation on the efficacy of sofosbuvir and velpatasvir in the treatment of hepatitis C
Objective To analyze the clinical effect of sofosbuvir and velpatasvir in the treatment of hepatitis C.Methods A total of 80 patients with hepatitis C were randomly divided into a control group and an observation group by odd and even numbers of admission number.The patients in the control group were treated with ribavirin and interferon,while the patients in the observation group were treated with sofosbuvir and velpatasvir.Both groups were compared in terms of liver function indicators[prothrombin activity(PTA),aspartate transaminase(AST),total bilirubin(TBIL)],inflammatory markers[tumor necrosis factor-α(TNF-α),hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6)]and quality of life score before and after treatment,therapeutic effect,and occurrence of adverse reactions.Results Before treatment,there were no differences in PTA,AST,TBIL,TNF-α,hs-CRP and IL-6 between the two groups(P>0.05).After treatment,PTA,AST,TBIL,TNF-α,hs-CRP and IL-6 in both groups improved compared with those before treatment,and the observation group was significantly better than the control group(P<0.05).After treatment,the quality of life score of(83.27±5.57)points in the observation group was significantly better than(78.25±2.13)points in the control group(P<0.05).The total effective rate of the observation group was 95.00%(38/40),which was higher than 75.00%(30/40)of the control group(P<0.05).The incidence of adverse reactions in the observation group was 7.50%(3/40),which was significantly lower than 40.00%(16/40)in the control group(P<0.05).Conclusion Sofosbuvir and velpatasvir has a definite therapeutic effect on hepatitis C,which is beneficial to better improve the inflammatory status,liver function,and quality of life of patients.It has high safety and is worthy of promotion.

Sofosbuvir and velpatasvirHepatitis CClinical effects

孙婷、尤振宇、付小琳

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110003 中国人民解放军北部战区总医院

索磷布韦维帕他韦 丙型病毒性肝炎 临床效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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