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人类淋巴母细胞干扰素(IFN)治疗代偿期丙型肝硬化患者的生化及病毒学疗效分析:采用多中心随机对照试验比较个体IFN剂量增加与延长治疗期的效果

Analysis of biochemical and virological efficacy of human lymphoblastoid interferon (IFN) in patients with compensated type C liver cirrhosis: comparative study between increase in individual IFN dose and prolonging of treatment period, using a multicenter randomized controlled trial.

作者信息

Shinzawa H, Yoshida Y, Masamune O, Toyota T, Takahashi T, Kasukawa R, Sudo T, Ishikawa K, Komatsu M, Ishii M, Takagi T, Hisamichi S, Sato S, Ichida H

机构信息

Second Department of Internal Medicine, Yamagata University School of Medicine, Japan.

出版信息

Dig Dis Sci. 2000 Mar;45(3):575-80. doi: 10.1023/a:1005409627192.

Abstract

A controlled trial was conducted to compare the efficacy of interferon (IFN) between two groups of patients with type C liver. Thirty-five patients were randomly assigned to group A (17 patients) or group B (18 patients). The former received 3 megaunits (MU) of human lymphoblastoid IFN six days per week for two weeks, followed by three days per week for 50 weeks; the latter group received 6 MU six days per week for two weeks followed by three days per week for 24 weeks. The percentages of biological sustained responders (B-SR) and virological sustained responders (V-SR) were 29.4 and 23.5%, respectively, in group B, and 17.6% for both in group A. The therapeutic effects were not different between two groups. HCV genotype 2 accounted for significantly higher percentage of B-SR and V-SR (both 57.1%, respectively). These findings indicate that IFN is effective in type C cirrhosis with genotype 2.

摘要

进行了一项对照试验,比较两组丙型肝炎患者使用干扰素(IFN)的疗效。35例患者被随机分为A组(17例)或B组(18例)。前者每周6天接受3百万单位(MU)人淋巴母细胞干扰素,共两周,之后每周3天,持续50周;后者每周6天接受6 MU,共两周,之后每周3天,持续24周。B组的生物学持续应答者(B-SR)和病毒学持续应答者(V-SR)的百分比分别为29.4%和23.5%,A组两者均为17.6%。两组之间的治疗效果无差异。HCV基因型2在B-SR和V-SR中所占百分比显著更高(分别均为57.1%)。这些发现表明,IFN对基因型2的丙型肝炎肝硬化有效。

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