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[阿德福韦酯联合双环醇治疗HBeAg阳性慢性乙型病毒性肝炎的疗效分析]

[The analyse of effectiveness in HBeAg-positive chronic viral hepatitis B treated by adefovir dipivoxil combined with bicyclol].

作者信息

Xiang Dai-Rong, Sheng Ji-Fang

机构信息

Zhejiang University First Hospital, Hangzhou 310003, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2009 Aug;23(4):299-301.

Abstract

OBJECTIVE

To analyze the efficacy of adefovir dipivoxil combined with bicyclol in treatment of HBeAg-positive chronic viral hepatitis B (CHB).

METHODS

A total of 91 patients with CHB were randomized into experimental group and control group to be treated. The patients in experimental group (46 samples) received adefovir dipivoxil orally 10 mg daily and bicyclol orally 150 mg daily for 48 weeks and those in control group (45 samples) received adefovir dipivoxil orally 10 mg daily alone for 48 weeks. The serum aminotransferace (ALT/ AST), HBV-DNA, HBeAg/antiHBe were observed before and after treatment.

RESULTS

Compared with pretreatment, the serum aminotransferace were all decreased obviously in two groups, the experimental group is better (P < 0.05). HBVDNA negative conversion rate was significantly higher in experimental group than in the control group (47.8% vs. 31.1%, P < 0.05). There were nostatistically differrence between the two groups in the portion of HBeAg loss rate and HBeAg seroconversion rate. There were no obvious adverse reaction in the study.

CONCLUSION

Adefovir dipivoxil combined with bicyclol is efective in the treatment of chronic hepatitis B.

摘要

目的

分析阿德福韦酯联合双环醇治疗HBeAg阳性慢性乙型病毒性肝炎(CHB)的疗效。

方法

将91例CHB患者随机分为实验组和对照组进行治疗。实验组(46例)患者口服阿德福韦酯10mg/d及双环醇150mg/d,疗程48周;对照组(45例)患者仅口服阿德福韦酯10mg/d,疗程48周。观察两组治疗前后血清转氨酶(ALT/AST)、HBV-DNA、HBeAg/抗-HBe变化。

结果

与治疗前比较,两组血清转氨酶均明显下降,实验组更显著(P<0.05)。实验组HBV-DNA阴转率显著高于对照组(47.8%比31.1%,P<0.05)。两组HBeAg消失率和HBeAg血清学转换率差异无统计学意义。研究中未出现明显不良反应。

结论

阿德福韦酯联合双环醇治疗慢性乙型肝炎有效。

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