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异丙肌苷治疗慢性乙型活动性肝炎

Isoprinosine in the treatment of chronic active hepatitis type B.

作者信息

Cianciara J, Laskus T, Gabinska E, Loch T

机构信息

Department of Hepatology, Institute of Infectious and Parasitic Diseases, Warsaw, Poland.

出版信息

Scand J Infect Dis. 1990;22(6):645-8. doi: 10.3109/00365549009027115.

Abstract

21 patients with chronic active hepatitis B (CAH-B) were treated for 1-2 years with isoprinosine, while another 18 patients served as control group. All patients were initially DNA polymerase (DNAp) and HBeAg positive. Nine (43%) treated patients became persistently negative for DNAp, seroconverted to anti-HBe and showed histological remission on follow-up biopsy. Among simultaneously followed controls 5 (28%) lost DNAp and 4 (22%) also lost their HBeAg. However, only 2 (11%) seroconverted to anti-HBe. Histological improvement was seen in 5 (28%) controls. Thus, it seems that isoprinosine may exert a beneficial effect on the course and outcome of CAH-B.

摘要

21例慢性活动性乙型肝炎(CAH - B)患者接受了1 - 2年的异丙肌苷治疗,另有18例患者作为对照组。所有患者最初DNA聚合酶(DNAp)和HBeAg均为阳性。9例(43%)接受治疗的患者DNAp持续转阴,血清转换为抗 - HBe,且随访活检显示组织学缓解。在同期随访的对照组中,5例(28%)DNAp转阴,4例(22%)HBeAg也转阴。然而,只有2例(11%)血清转换为抗 - HBe。5例(28%)对照组患者出现组织学改善。因此,异丙肌苷似乎可能对CAH - B的病程和结局产生有益影响。

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