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Effect of auxiliary treatment of Alprostadil in the hepatitis B cirrhosis and its influence on serum inflammatory factors |
ZHU Ke-wei1 XIAO Can-hui2 BAI Yu-yan2 PING Qu2 |
1.Guangdong Provincial Cadre Sanatorium,Guangdong Province,Guangzhou 510970,China;
2.Department of Infectious Diseases,the Fifth Affiliated Hospital of Southern Medical University,Guangdong Province,Guangzhou 510900,China |
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Abstract Objective To investigate the effect of auxiliary treatment of Alprostadil in the hepatitis B cirrhosis and its influence on serum inflammatory factors.Methods A total of 80 patients with hepatitis B cirrhosis admitted to our hospital from June 2016 to June 2017 were divided into group A (n=40)and group B (n=40)according to systic randomazition method.Group A was treated with Telbivudine on the basis of conventional treatment,group B was given Alprostadil for auxiliary treatment on the basis of group A.The clinical efficacy of the two groups of patients after 3 months of treatment,the hepatitis B virus DNA level and the inflammatory factors levels including interleukin-6(IL-6),interleukin-22(IL-22)and high-sensitivity C reactive protein(hs-CRP)before and after treatment were compared.ResultsThe total effective rate in group B(90.00%)was higher than that in group A(67.50%),with statistically significant difference (P<0.05).The levels of HBV DNA after treatment in both groups were lower than those before treatment,but there was no significant difference between the two groups (P>0.05).The levels of hs-CRP,IL-6 and IL-22 in two groups after treatment were lower than those before treatment,and the above indexes in group B were lower than those in group A,with statistically significant difference(P<0.05).Conclusion Alprostadil has a good adjuvant therapy for patients with hepatitis B cirrhosis,which can effectively control the DNA level of hepatitis B virus and the levels of inflammatory cytokines such as hs-CRP,IL-6 and IL-22.
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