中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2919-2921
,共3页
阿德福韦酯%拉米夫定%乙型肝炎,慢性
阿德福韋酯%拉米伕定%乙型肝炎,慢性
아덕복위지%랍미부정%을형간염,만성
Adefovir dipivoxil%Lamivudine%Hepatitis B,chronic
目的:探讨阿德福韦酯联合拉米夫定治疗慢性乙型肝炎的临床疗效。方法将慢性乙型肝炎患者68例,采用随机数字表法分为治疗组和对照组,每组34例。治疗组使用阿德福韦酯联合拉米夫定给药48周,对照组单独采用拉米夫定给药48周,分别在12、24、36、48周时,观察并比较患者治疗后肝功能指标中ALT的变化、HBV DNA 血清变化、HBV DNA 与 HBeAg 转阴率、HBeAg/HBeAb 血清转换率及不良反应。结果两组患者随治疗时间的延长,ALT、HBV DNA定量逐渐下降,治疗前后差异均有统计学意义( t=4.63、4.65,均P<0.05);治疗组24、36、48周ALT、HBV DNA均明显低于对照组[ALT(89.9±16.7)U/L、(60.1±13.8)、U/L(44.6±8.9)U/L比(90.7±17.6)U/L、(72.0±14.1)U/L、(61.3±24.5)U/L;HBV DNA(4.92±1.44)U/L、(3.35±1.37)U/L、(2.53±1.31)U/L比(5.02±1.41)U/L、(3.69±1.40)U/L、(3.02±1.35)U/L],两组差异均有统计学意义(F=4.32、4.56、4.76,均P<0.05);两组患者治疗后,HBV DNA与HBeAg阴转率、HBeAg/HBeAb血清转换率均有显著上升,差异均有统计学意义(χ2=4.63、4.36、4.21、4.27、4.35、4.23,均P<0.05);在治疗24周时,HBV 血清学标志差异无统计学意义,24周后血清学标志物治疗组(67.65%、32.35%、26.47%、85.29%、38.23%、35.29%)明显高于对照组,两组差异均有统计学意义(χ2=4.43、4.73、4.23、4.32、4.34、4.46、4.76、4.34、4.22、4.29、4.34、4.45,均P<0.05)。结论阿德福韦酯联合拉米夫定治疗慢性乙型肝炎临床疗效显著,无严重不良反应,适宜临床广泛应用。
目的:探討阿德福韋酯聯閤拉米伕定治療慢性乙型肝炎的臨床療效。方法將慢性乙型肝炎患者68例,採用隨機數字錶法分為治療組和對照組,每組34例。治療組使用阿德福韋酯聯閤拉米伕定給藥48週,對照組單獨採用拉米伕定給藥48週,分彆在12、24、36、48週時,觀察併比較患者治療後肝功能指標中ALT的變化、HBV DNA 血清變化、HBV DNA 與 HBeAg 轉陰率、HBeAg/HBeAb 血清轉換率及不良反應。結果兩組患者隨治療時間的延長,ALT、HBV DNA定量逐漸下降,治療前後差異均有統計學意義( t=4.63、4.65,均P<0.05);治療組24、36、48週ALT、HBV DNA均明顯低于對照組[ALT(89.9±16.7)U/L、(60.1±13.8)、U/L(44.6±8.9)U/L比(90.7±17.6)U/L、(72.0±14.1)U/L、(61.3±24.5)U/L;HBV DNA(4.92±1.44)U/L、(3.35±1.37)U/L、(2.53±1.31)U/L比(5.02±1.41)U/L、(3.69±1.40)U/L、(3.02±1.35)U/L],兩組差異均有統計學意義(F=4.32、4.56、4.76,均P<0.05);兩組患者治療後,HBV DNA與HBeAg陰轉率、HBeAg/HBeAb血清轉換率均有顯著上升,差異均有統計學意義(χ2=4.63、4.36、4.21、4.27、4.35、4.23,均P<0.05);在治療24週時,HBV 血清學標誌差異無統計學意義,24週後血清學標誌物治療組(67.65%、32.35%、26.47%、85.29%、38.23%、35.29%)明顯高于對照組,兩組差異均有統計學意義(χ2=4.43、4.73、4.23、4.32、4.34、4.46、4.76、4.34、4.22、4.29、4.34、4.45,均P<0.05)。結論阿德福韋酯聯閤拉米伕定治療慢性乙型肝炎臨床療效顯著,無嚴重不良反應,適宜臨床廣汎應用。
목적:탐토아덕복위지연합랍미부정치료만성을형간염적림상료효。방법장만성을형간염환자68례,채용수궤수자표법분위치료조화대조조,매조34례。치료조사용아덕복위지연합랍미부정급약48주,대조조단독채용랍미부정급약48주,분별재12、24、36、48주시,관찰병비교환자치료후간공능지표중ALT적변화、HBV DNA 혈청변화、HBV DNA 여 HBeAg 전음솔、HBeAg/HBeAb 혈청전환솔급불량반응。결과량조환자수치료시간적연장,ALT、HBV DNA정량축점하강,치료전후차이균유통계학의의( t=4.63、4.65,균P<0.05);치료조24、36、48주ALT、HBV DNA균명현저우대조조[ALT(89.9±16.7)U/L、(60.1±13.8)、U/L(44.6±8.9)U/L비(90.7±17.6)U/L、(72.0±14.1)U/L、(61.3±24.5)U/L;HBV DNA(4.92±1.44)U/L、(3.35±1.37)U/L、(2.53±1.31)U/L비(5.02±1.41)U/L、(3.69±1.40)U/L、(3.02±1.35)U/L],량조차이균유통계학의의(F=4.32、4.56、4.76,균P<0.05);량조환자치료후,HBV DNA여HBeAg음전솔、HBeAg/HBeAb혈청전환솔균유현저상승,차이균유통계학의의(χ2=4.63、4.36、4.21、4.27、4.35、4.23,균P<0.05);재치료24주시,HBV 혈청학표지차이무통계학의의,24주후혈청학표지물치료조(67.65%、32.35%、26.47%、85.29%、38.23%、35.29%)명현고우대조조,량조차이균유통계학의의(χ2=4.43、4.73、4.23、4.32、4.34、4.46、4.76、4.34、4.22、4.29、4.34、4.45,균P<0.05)。결론아덕복위지연합랍미부정치료만성을형간염림상료효현저,무엄중불량반응,괄의림상엄범응용。
Objective To study the clinical curative effect of adefovir and lamivudine in the treatment of chronic hepatitis B .Methods 68 patients with chronic hepatitis B were randomly divided into the treatment group and control group,34 cases in each group.The treatment group was treated with adefovir and lamivudine for 48 weeks,the control group was treated by lamivudine for 48 weeks.12,24,36,48 weeks after treatment ,the changes of liver func-tion,ALT index in HBV DNA,HBV DNA and the changes of serum HBeAg negative rate ,HBeAg/HBeAb seroconver-sion rate and adverse reaction were observed and compared .Results With the extension of treatment time ,ALT,HBV DNA in the two groups were gradually decreased , there were significant differences before and after treatment ( t=4.63,4.65,P<0.05).24,36,48 weeks after treatment,ALT,HBV DNA in the treatment group were significantly lower than those in the control group[ALT (89.9 ±16.7) U/L,(60.1 ±13.8) U/L,(44.6 ±8.9) U/L vs (90.7 ± 17.6) U/L,(72.0 ±14.1) U/L,(61.3 ±24.5) U/L;HBV DNA (4.92 ±1.44) U/L,(3.35 ±1.37) U/L,(2.53 ± 1.31) U/L vs (5.02 ±1.41) U/L,(3.69 ±1.40) U/L,(3.02 ±1.35) U/L],there were significant differences between two groups(F=4.32,4.56.4.76,all P<0.05).After treatment,the HBV DNA and HBeAg negative con-version rate,HBeAg/HBeAb seroconversion rate in two groups were increased significantly ,the differences were statis-tically significant(χ2 =4.63,4.36,4.21,4.27,4,35,4.23,all P<0.05).At the 24th week of treatment,the serolog-ical markers of HBV had no significant difference , but after 24 weeks, serum markers in the treatment group (67.65%,32.35%,26.47%,85.29%,38.23%,35.29%) were obviously higher than those in the control group , the differences between the two groups were significant (χ2 =4.43,4.73,4.23,4.32,4.34,4.46,4.76,4.34,4.22, 4.29,4.34,4.45,all P<0.05).Conclusion Adefovir and lamivudine combination therapy in the treatment of chro-nic hepatitis B has obvious clinical effect ,has no serious adverse reactions ,which is suitable for clinical application .