首页|富马酸替诺福韦二吡呋酯治疗乙型肝炎肝硬化的临床效果分析

富马酸替诺福韦二吡呋酯治疗乙型肝炎肝硬化的临床效果分析

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目的 评析对乙型肝炎肝硬化患者在治疗过程使用富马酸替诺福韦二吡呋酯的临床价值。方法 将2020年3月-2022年3月来本院接受治疗的82例乙型肝炎肝硬化患者作为本次研究对象,按照随机数字表法将参与此次研究的患者分为两组,分别为接受富马酸替诺福韦二吡呋酯治疗的观察组和接受恩替卡韦治疗的对比组,每组各纳入患者41例,对比两组患者用药前后患者肝功能指标、炎性指标变化情况与临床疗效。结果 观察组患者治疗后的HbeAg转阴率及HbeAb转阳率均优于对比组,组间差异有统计学意义(P<0。05);在治疗有效率方面,观察组与对比组相比明显更高,数据对比差异有统计学意义(P<0。05);两组患者治疗前的肝功能与炎性指标相比不存在明显差异,无统计学意义(P>0。05),治疗后观察组患者的肝功能指标和炎性因子水平均优于对比组,差异存在统计学意义(P<0。05)。结论 对乙型肝炎肝硬化患者采用富马酸替诺福韦二吡呋酯治疗具有显著的临床效果,能够有效改善患者的肝功能,并能够减轻机体炎症反应,具有在临床中进一步应用推广的临床价值。
Clinical Effect Analysis of Tenofovir Fumarate Dipivoxime in Treatment of Hepatitis B Cirrhosis
Objective To evaluate clinical value of tenofovir dipivoxil fumarate in treatment of patients with hepatitis B and cirrhosis.Methods The paper chose 82 patients with hepatitis B cirrhosis in our hospital from March 2020 to March 2022 as survey subjects,and divided them into two groups with random number table methods.Observation group was treated with tenofovir dipivoxil fumarate treatment and control group with entecavir treatment,41 cases in each group.Liver function indicators of patients before and after medication,changes in inflammatory indicators and clinical effect were compared between two groups.Results HbeAg conversion rate and HbeAb conversion rate in observation group was better than control group after treatment,difference between groups was comparable(P<0.05).Treatment effect in observation group was significantly higher than control group,data comparison showed(P<0.05),indicating statistical significance.There was no significant difference in liver function and inflammatory indicators between two groups before treatment,there was no statistical significance(P>0.05).After treatment,observation group had better liver function indicators and inflammatory factor levels than control group,difference was statistically significant(P<0.05).Conclusion Tenofovir dipivoxime fumarate can achieve significant clinical effect for patients with hepatitis B cirrhosis,can improve liver function,and reduce inflammation effectively,which has clinical value for further application and promotion in clinical practice.

Tenofovir fumarate dipivoxime esterEntecavirHepatitis B cirrhosisCurative effectLiver function

方贵华、刘娜、邓巧娟

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广东医科大学附属医院 感染内科,广东 湛江 524001

富马酸替诺福韦二吡呋酯 恩替卡韦 乙型肝炎肝硬化 治疗效果 肝功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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