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Comparison of the different treatment regimens on patients with hepatitis B and its influence on the disease related indicators |
GONG Shi |
Department of Infectious Diseases,the People′s Hospital of Gaozhou in Guangdong Province,Gaozhou525200,China |
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Abstract Objective To observe and compare the antiviral effects of different treatment regimens on patients with hepatitis B and its influence on the disease related indicators.Methods 98 hepatitis B patients treated in our hospital from October 2014 to April 2015 were divided into A group and B group according to random number table,with 49 cases in each group.Patients in A group were used Lamivudine,and the B group were used Lamivudine combined with Adefovir dipivoxil.The total effective rate of antiviral,the platelet index(PLT,PDW and GMP-140),fibrosis index(IV-C,LN and HA)serum expression levels before and after treatment of two groups were detected and compared.Results After treatment for 2,4 and 6 months,the total effective rate of antiviral in B group was respectively 69.39%,83.67%and 91.84%, obvious higher than those of 46.94%,59.18%and 71.43%in A group,PLT at different time after treatment was higher than that in group A,and other platelet index and fibrosis index serum expression levels were lower than those in A group and there were significant differences(P<0.05).Conclusion The antiviral effect of lamivudine combined with adefovir dipivoxil on hepatitis B patients is significantly better than that of lamivudine alone,and its effect on the disease related indicators is better than lamivudine.Therefore,it is considered to be more valuable in patients with hepatitis B.
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[1] |
陈雅萍,张勤俭,田楠楠,等.替比夫定联合阿德福韦酯抗乙肝病毒的疗效分析[J].现代消化及介入诊疗,2015,20(4):354-355.
|
[2] |
胡倩,鲁海峰.阿德福韦酯联合拉米夫定治疗乙肝肝硬化的临床疗效观察[J].中国现代医生,2015,53(32):108-111.
|
[3] |
彭思璐,罗云波,刘冰,等.阿德福韦酯联合拉米夫定及单用恩替卡韦对乙肝肝硬化患者的疗效比较[J].河北医学,2016,22(3):355-358.
|
[4] |
Larsson SB,Malmstrm S,Hannoun C,et al.Mechanisms downstream of reverse transcription reduce serum levels of HBV DNA but not of HBsAg in chronic hepatitis B virus infection[J].Virol J,2015,12(1):1-8.
|
[5] |
王琳.聚乙二醇干扰素α-2a联合阿德福韦酯治疗HBeAg阳性慢性乙肝的效果分析[J].世界中医药,2015,10(A02):1439-1440.
|
[6] |
林勇,肖灿辉,朱彩红.比较阿德福韦酯片与拉米夫定片治疗老年慢性乙肝患者的远期疗效[J].数理医药学杂志,2016,29(8):1208-1209.
|
[7] |
许春进,南君,葛大赫.替比夫定联用阿德福韦酯治疗HBeAg阳性高病毒载量乙肝的疗效及安全性分析[J].中国继续医学教育,2016,8(10):109-111.
|
[8] |
武康,张卓伟,朱丽静,等.乙肝肝硬化患者血小板活化、聚集与血浆色素上皮衍生因子关系[J].山西医科大学学报,2015,46(5):408-410.
|
[9] |
余晓红,李重先,吕宏迪,等.动态检测乙肝肝纤维化患者血小板参数的临床意义[J].河北医药,2015,37(9):1341-1343.
|
[10] |
IsmailovH,HasanovaZ.LiverMetabolicFunctionofHemodialysis Patients With Surface Antigen-Positive Hepatitis B[J]. Soc Organ Transplant,2015,13(Suppl 3):66-68.
|
[11] |
麻飞玲,谢冬梅,孙黎明.膈下逐瘀汤联合恩替卡韦片对瘀血阻络型慢乙肝患者血清肝纤维化指标的影响[J].辽宁中医杂志,2015,42(2):344-346.
|
[12] |
陈暐.复方丹参注射液联合复方甘草酸苷对乙肝肝纤维化指标的影响[J].牡丹江医学院学报,2016,37(4):45-46.
|
[13] |
李志强,邹东花.慢性乙型肝炎患者经阿德福韦酯联合微卡、乙肝疫苗治疗的临床效果探讨[J].世界中医药,2015,10(A01):558-559.
|
[14] |
马莉莉,郭娜,韩晟,等.恩替卡韦与阿德福韦酯治疗慢性乙肝疗效的Meta分析[J].药品评价,2016,13(12):8-17.
|
[15] |
谢群.虎驹乙肝胶囊联合阿德福韦酯调节HBeAg阳性慢性乙型肝炎患者免疫功能的临床研究[J].标记免疫分析与临床,2015,22(3):186-189.
|
|
|
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