中华传染病杂志1999,Vol.17Issue(1) :24-26.

胸腺肽α1单用及联合干扰素-α1b治疗慢性乙型肝炎疗效观察

A comparative trial of thymosin-α1 vs.thymosin-α1 combined with interferon-α1b in the treatment of chronic hepatitis B

陆志檬 姚光弼 邬祥惠 高健 计焱焱 张清波
中华传染病杂志1999,Vol.17Issue(1) :24-26.

胸腺肽α1单用及联合干扰素-α1b治疗慢性乙型肝炎疗效观察

A comparative trial of thymosin-α1 vs.thymosin-α1 combined with interferon-α1b in the treatment of chronic hepatitis B

陆志檬 1姚光弼 2邬祥惠 3高健 1计焱焱 2张清波3
扫码查看

作者信息

  • 1. 200025,上海第二医科大学附属瑞金医院
  • 2. 上海市静安区中心医院
  • 3. 上海医科大学华山医院
  • 折叠

摘要

目的 研究单用胸腺肽α1(Tα1)及联合应用干扰素(IFN)对慢性乙型肝炎(CHB)的治疗作用.方法 36例CHB患者随机分为A、B两组,A组采用Tα1和IFN联合治疗;B组单用Tα1,疗程均为6个月.结果 治疗后6月时ALT水平在A、B两组分别下降至(72.1±4.77)U/L和(73.7±37.9)U/L,较治疗前(226.7±219.4)U/L和(170.1±165.6)U/L明显下降(P=0.0027和0.0003).HBV DNA水平在A、B两组分别下降到(130±283)mEq/ml和(373±825)mEq/ml,较治疗前(807±1222)mEq/ml和(883±1438)mEq/ml明显下降(P=0.0019和0.019).治疗后6月时,具有ALT完全反应者,A组和B组分别为8例(44%)和9例(50%),具有HBV清除反应者A组为8例(44.4%),B组为7例(38.8%).结论 采用Tα1或Tα1联合IFN-α1b治疗CHB均能取得较好的效果.

Abstract

Objective To observe the efficacy and safety of Tα1 vs.Tα1 combined with IFN-α in the treatment of chronic hepatitis B.Methods Thirty-eight patients with chronic hepatitis B were randomly divided into group A and B.Patients in both groups received Tα1 for six months.However,patients in group A received IFN-α coincidently for six months.Results At the end of treatment,ALT level decreased in the patients of both group A and group B(P=0.0043 and P=0.0036,respectively),which decreased 96.6±38.3IU/L(P=0.00189)in group A and 81.93±56.39IU/L in group B respectirely.HBV DNA level decreased 130±283 mEq/ml(P=0.0019)in group A and 373±825 mEq/ml in group B(P=0.019).Conclusion The Tα1 or Tα1 combined with IFN-α is efficient to treat patients with chronic hepatitis B.

关键词

慢性乙型肝炎/胸腺肽/干扰素

Key words

Chronic hepatitis B Thymosin Interferon

引用本文复制引用

出版年

1999
中华传染病杂志
中华医学会

中华传染病杂志

CSCD北大核心
影响因子:0.791
ISSN:1000-6680
被引量74
参考文献量9
段落导航相关论文