首页|恩替卡韦联合鳖甲煎丸治疗HBV DNA阴性慢性乙型肝炎临床疗效观察

恩替卡韦联合鳖甲煎丸治疗HBV DNA阴性慢性乙型肝炎临床疗效观察

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目的:观察恩替卡韦联合鳖甲煎丸治疗HBV DNA阴性慢性乙型肝炎的疗效.方法:回顾性研究89例HBV DNA阴性慢性乙型肝炎患者,依据肝纤维化程度分为轻度、中度、重度3组,再依据患者治疗方案分为单抗组(恩替卡韦)与双抗组(恩替卡韦联合鳖甲煎丸)两个亚组,比较在不同肝纤维等级下单抗组与双抗组治疗24周后病毒血清学、生化指标及LSM值指标.结果:两组患者病毒血清学指标及LSM值比较差异无统计学意义(P>0.05);双抗组与单抗组治疗24周后相比,处于轻度肝纤维等级下,γ-GT、TBil差异有统计学意义(P<0.05);处于中度肝纤维化等级下,TBil差异有统计学意义(P<0.05);处于重度肝纤维化等级下,ALT、AST、γ-GT、TBil差异均无统计学意义(P>0.05).结论:处于轻度到中度肝纤维等级下,双抗组患者疗效优于单抗组,处于重度肝纤维等级下,两组患者疗效无显著差异.
Clinical observation of entecavir combined with Biejia decoction pill in treatment of DNA negative chronic hepatitis B liver fibrosis
Objective:To observe the curative effect of Entecavir combined with Biejia decoction pill on DNA-negative chronic hepatitis B.Methods:A retrospective study was conducted in 89 patients with long-term(more than 24 weeks)DNA-negative chronic hepatitis B patients,who were divided into mild,moderate and severe groups according to the grade of liver fibrosis.And then they were divided into two subgroups according to the treatment plan:the"monoantibody"group(Entecavir)and the"double antibody"group(Entecavir combined with Biejia decoction pill).Virus serology,biochemistry,and LSM values were compared between the"monoclonal antibody"group and the"double antibody"group after 24 weeks of treatment under different liver fiber grades.Results:There was no significant difference in virus serology index and LSM value between two groups(P>0.05).After 24 weeks of treatment between the"double antibody"group and the"single antibody"group,there were statistically significant differences in γ-GT and TBil in the mild liver fiber grade(P<0.05),and statistically significant differences in TBil in the moderate liver fibrosis grade(P<0.05),and statistically significant differences in TBil in the severe liver fibrosis grade.There were no significant differences in ALT,AST,γ-GT,and TBil(P>0.05).Conclusion:In the mild to moderate hepatic fiber grade,the efficacy of the"double antibody"group is better than that of the"single antibody"group.In the severe hepatic fiber grade,there is no significant difference in the efficacy of the two groups.

entecavirturtle shell decoction pillchronic hepatitis Bcurative effect observation

段超、刘黎明

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江汉大学医学部(湖北 武汉,430100)

湖北省第三人民医院中西医结合肝病科

恩替卡韦 鳖甲煎丸 慢性乙型肝炎 疗效观察

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(5)