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在利巴韦林治疗的基础上接受常规干扰素α2a的监督治疗是慢性丙型肝炎治疗的首选替代方案。

Supervised conventional interferon α2a in combination with ribavirin therapy is the preferred alternative for treatment of chronic hepatitis C.

作者信息

Rehan Harmeet Singh, Manak Seema, Yadav Madhur

机构信息

Department of Pharmacology, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi, India.

Department of Medicine, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi, India.

出版信息

Indian J Pharmacol. 2014 Sep-Oct;46(5):490-2. doi: 10.4103/0253-7613.140578.

Abstract

OBJECTIVE

To document the significant sustained virological response with supervised conventional interferon α and ribavirin therapy in hepatitis C virus (HCV)-infected patients, this study was planned.

MATERIALS AND METHODS

Sixty chronic hepatitis C naive patients were included in this study. Complete blood counts, prothrombin time, ALT, AST, and qualitative HCV RNA were done. Conventional interferon (INF) α2a, 3MIU, S.C and ribavirin 1000 mg PO was given as supervised therapy for 24 weeks in genotype 3 and 48 weeks in genotype 1 and 4 HCV patients. Qualitative HCV RNA was repeated at 12 weeks, 24 weeks for HCV infections with genotype 1, 2, 3 and 4, at 48 weeks for genotype 1 and 4, and thereafter 6 months after completion of treatment. End virological and sustained virological responses were observed.

RESULTS

Out of 60 patients, 55 completed the study. Five patients were lost to follow-up. Overall SVR was seen in 47 patients (85.4%) and 4 patients had relapses.

CONCLUSION

Significant sustained virological response rates were seen in patients with supervised conventional INF α2a and ribavirin therapy.

摘要

目的

为记录丙型肝炎病毒(HCV)感染患者接受有监督的传统干扰素α和利巴韦林治疗后的显著持续病毒学应答,开展了本研究。

材料与方法

本研究纳入60例初治慢性丙型肝炎患者。进行全血细胞计数、凝血酶原时间、谷丙转氨酶(ALT)、谷草转氨酶(AST)及HCV RNA定性检测。对于基因3型患者,给予常规干扰素(INF)α2a 3MIU皮下注射及利巴韦林1000mg口服,进行24周有监督治疗;对于基因1型和4型HCV患者,则进行48周治疗。对于基因1、2、3和4型HCV感染患者,在第12周、24周重复进行HCV RNA定性检测;对于基因1型和4型患者,在第48周重复检测,治疗结束后6个月再次检测。观察最终病毒学应答和持续病毒学应答情况。

结果

60例患者中,55例完成研究,5例失访。47例患者(85.4%)出现总体持续病毒学应答,4例复发。

结论

接受有监督的传统INFα2a和利巴韦林治疗的患者出现显著的持续病毒学应答率。

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