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[干扰素与慢性非甲非乙型肝炎:问题现状]

[Interferon and chronic non-A, non-B hepatitis: status of the problem].

作者信息

Marcellin P

机构信息

Service d'Hépatologie, Hôpital Beaujon, Clichy.

出版信息

Acta Gastroenterol Belg. 1991 May-Aug;54(3-4):259-62.

PMID:1792840
Abstract

Alpha interferon is the only effective therapy in patients with chronic non-A, non-B hepatitis. Alpha interferon administration during 6 months, in a dosage of 3 millions units, three times per week, induces a complete response defined by the normalisation of transaminases in about 50% of the patients. The normalisation of transaminases is correlated to an improvement of liver histologic activity. A relapse, with the re-increase of transaminases, is often observed after withdrawal of interferon. One year after therapy, less than 20% of the patients treated have a sustained complete response defined by persistently normal transaminases. Studies are in progress about the efficacy of higher dosage or longer duration of alpha interferon administration.

摘要

α干扰素是慢性非甲非乙型肝炎患者唯一有效的治疗方法。给予α干扰素6个月,剂量为300万单位,每周3次,约50%的患者转氨酶恢复正常,达到完全缓解。转氨酶恢复正常与肝脏组织学活性改善相关。停用干扰素后,常观察到转氨酶再次升高的复发情况。治疗1年后,接受治疗的患者中不到20%的人转氨酶持续正常,达到持续完全缓解。关于更高剂量或更长疗程给予α干扰素的疗效研究正在进行中。

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