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乙型肝炎“免疫”球蛋白:预防透析相关肝炎的有效性

Hepatitis B "immune" globulin: effectiveness in prevention of dialysis-associated hepatitis.

作者信息

Prince A M, Szmuness W, Mann M K, Vyas G N, Grady G F, Shapiro F L, Suki W N, Friedman E A, Stenzel K H

出版信息

N Engl J Med. 1975 Nov 20;293(21):1063-7. doi: 10.1056/NEJM197511202932103.

DOI:10.1056/NEJM197511202932103
PMID:1101066
Abstract

A randomized, double-blind, multicenter study of hepatitis prevention by immune serum globulin with high anti-HBs titer ("hepatitis B immune globulin") was carried out among 318 new patients and 296 staff members of renal dialysis units. Three milliliters of high titer globulin, repeated at four months, was compared with equal doses of intermediate or normal titer globulin. Among staff members, the cumulative percentages developing hepatitis or HBs Ag, or both, within eight months were 6.9, 11.7, and 11.1 in the high, intermediate, and normal titer groups respectively. The lower incidence associated with high titer globulin was not significant (P greater than 0.05). However, among the patients the respective percentages were 7.9, 21.3, and 23.1 and the lower incidence in the high titer globulin group was significant.

摘要

在318名新患者和296名肾透析单位工作人员中开展了一项关于高抗-HBs滴度免疫血清球蛋白(“乙肝免疫球蛋白”)预防肝炎的随机、双盲、多中心研究。将3毫升高滴度球蛋白(4个月后重复给药)与等量的中滴度或正常滴度球蛋白进行比较。在工作人员中,高滴度、中滴度和正常滴度组在8个月内发生肝炎或HBs Ag或两者皆有的累积百分比分别为6.9%、11.7%和11.1%。高滴度球蛋白组较低的发病率无统计学意义(P大于0.05)。然而,在患者中,相应的百分比分别为7.9%、21.3%和23.1%,高滴度球蛋白组较低的发病率具有统计学意义。

相似文献

1
Hepatitis B "immune" globulin: effectiveness in prevention of dialysis-associated hepatitis.乙型肝炎“免疫”球蛋白:预防透析相关肝炎的有效性
N Engl J Med. 1975 Nov 20;293(21):1063-7. doi: 10.1056/NEJM197511202932103.
2
Hepatitis B immune globulin--prevention of hepatitis from accidental exposure among medical personnel.乙肝免疫球蛋白——预防医务人员意外接触所致的肝炎
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Clinical trials of hepatitis B immune globulin. Development of policies and materials for the 1972-1975 studies sponsored by the National Heart and Lung Institute.乙肝免疫球蛋白的临床试验。为国家心肺研究所1972 - 1975年的研究制定政策和材料。
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Hepatitis B immune globulin as a prophylactic measure for spouses exposed to acute type B hepatitis.乙肝免疫球蛋白作为接触急性乙型肝炎患者的配偶的预防措施。
N Engl J Med. 1975 Nov 20;293(21):1055-9. doi: 10.1056/NEJM197511202932101.
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Prevention of hepatitis B in hemodialysis patients using hepatitis B immunoglobulin. A controlled study.使用乙型肝炎免疫球蛋白预防血液透析患者的乙型肝炎。一项对照研究。
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引用本文的文献

1
Hepatocellular carcinoma- etiologic considerations: a review of the literature.肝细胞癌——病因学考量:文献综述
J Natl Med Assoc. 1981;73(7):601-7.
2
Editorial: High-titre hepatitis B immune globulin.社论:高滴度乙型肝炎免疫球蛋白
Br Med J. 1976 Jan 31;1(6004):241-2. doi: 10.1136/bmj.1.6004.241.
3
Development and use of a micro haemagglutination inhibition (HAI) technique, based on Hepatest, for the detection and quantitation of hepatitis B surface antibody (Anti-HBs) in blood donors.基于Hepatest的微量血凝抑制(HAI)技术的开发与应用,用于检测和定量献血者血液中的乙型肝炎表面抗体(抗-HBs)。
J Clin Pathol. 1977 Jan;30(1):50-3. doi: 10.1136/jcp.30.1.50.
4
Viral hepatitis, type B.乙型病毒性肝炎
Yale J Biol Med. 1976 Jul;49(3):235-41.
5
Antiviral therapy.抗病毒疗法。
Yale J Biol Med. 1977 Sep-Oct;50(5):507-32.
6
Human blood in New York City: now.纽约市的人类血液:现在。
Bull N Y Acad Med. 1977 Mar;53(2):166-75.
7
Peripheral metabolism of hormones: clinical implications.激素的外周代谢:临床意义。
J R Soc Med. 1979 Jun;72(6):400-8. doi: 10.1177/014107687907200603.
8
Recent advances in the identification of hepatitis viruses.肝炎病毒鉴定的最新进展
Postgrad Med J. 1977 Jul;53(621):364-73. doi: 10.1136/pgmj.53.621.364.
9
Failure of endoscopic transmission of hepatitis B.乙型肝炎内镜传播失败
Dig Dis Sci. 1979 Jan;24(1):21-4. doi: 10.1007/BF01297233.
10
The use of standard gamma globulin for the prevention of hepatitis B.
Am J Dig Dis. 1976 May;21(6):404-8. doi: 10.1007/BF01072666.