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长期每周注射干扰素-β治疗慢性乙型肝炎的一项试点研究。

A pilot study of long-term weekly interferon-beta administration for chronic hepatitis B.

作者信息

Kagawa T, Morizane T, Saito H, Tsunematsu S, Tada S, Kumagai N, Tsuchimoto K, Sugiura H, Mukai M, Tsuchiya M

机构信息

Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.

出版信息

Am J Gastroenterol. 1993 Feb;88(2):212-6.

PMID:8424423
Abstract

Interferon-beta was given weekly for 24 wk, at a dose of 3 million units, intravenously, to 10 patients with chronic hepatitis B who were serologically positive for HBsAg and HBeAg. Their condition was followed for 6 months after the end of therapy. Both serum hepatitis B virus-associated DNA-polymerase activity and alanine aminotransferase level became significantly lower during therapy and during the 6 months after the end of therapy than at the beginning of therapy. In five of 10 patients, the seroconversion from HBeAg positive to anti-HBe positive had occurred by 6 months after the end of therapy, and in four of these five patients, serum alanine aminotransferase level became normal. Weekly interferon-beta administration over 6 months seems effective in inducing seroconversion and in normalizing serum alanine aminotransferase level.

摘要

对10例血清学检查HBsAg和HBeAg呈阳性的慢性乙型肝炎患者,静脉注射β-干扰素,剂量为300万单位,每周1次,共24周。治疗结束后对他们的病情进行了6个月的随访。治疗期间以及治疗结束后的6个月内,血清乙肝病毒相关DNA聚合酶活性和丙氨酸转氨酶水平均显著低于治疗开始时。10例患者中有5例在治疗结束后6个月时发生了HBeAg阳性至抗-HBe阳性的血清学转换,在这5例患者中有4例血清丙氨酸转氨酶水平恢复正常。每周注射β-干扰素持续6个月似乎对诱导血清学转换和使血清丙氨酸转氨酶水平恢复正常有效。

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