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中国当代医药  2020, Vol. 27 Issue (24): 59-61    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
恩替卡韦联合阿德福韦酯治疗慢性乙型肝炎的临床效果
王燕燕
南昌市第三医院感染性疾病科,江西南昌 330009
Clinical effect of Entecavir combined with Adefovir Dipivoxil in the treatment of chronic hepatitis B
WANGYan-yan
Department of Infectious Diseases,Nanchang Third Hospital,Jiangxi Province,Nanchang 330009,China
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摘要 目的 探讨恩替卡韦联合阿德福韦酯治疗慢性乙型肝炎的临床效果。方法 选取2018年2月~2019年2月我院收治的60例慢性乙型肝炎患者作为研究对象,采取单双数字法将其分为观察组(单数)和对照组(双数),每组各30例。对照组患者采用阿德福韦酯治疗,观察组患者采用恩替卡韦联合阿德福韦酯治疗。比较两组患者治疗前后的总胆红素(TBil)、丙氨酸氨基转移酶(ALT)、清蛋白(ALB)水平、临床治疗总有效率、不良反应总发生率。结果 两组患者治疗前的TBil、ALT、ALB水平比较,差异无统计学意义(P>0.05);观察组患者治疗后的TBil、ALT水平低于对照组,ALB水平高于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗的总有效率为93.00%,高于对照组的70.00%,差异有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论 恩替卡韦联合阿德福韦酯治疗慢性乙型肝炎,可有效改善TBil、ALT、ALB的水平值,提高临床治疗总有效率,降低不良反应发生率,值得临床推广应用。
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王燕燕
关键词 恩替卡韦阿德福韦酯慢性乙型肝炎水平    
AbstractObjective To explore the clinical effect of Entecavir and Adefovir Dipivoxil in the treatment of chronic hepatitis B.Methods A total of 60 patients with chronic hepatitis B who were admitted to our hospital from February 2018 to February 2019 were selected as the research objects.and they were divided into observation group (odd number patients)and control group (even number patients)using the single and double number method,30 cases in each group.Patients in the control group were treated with Adefovir Dipivoxil,and patients in the observation group were treated with Entecavir combined with Adefovir Dipivoxil.The levels of total bilirubin (TBil),alanine aminotransferase(ALT)and albumin(ALB),the total effective rate of clinical treatment,and the total incidence of adverse reactions were compared between the two groups of patients before and after treatment.Results There were no significant differences in TBil,ALT and ALB between the two groups before treatment(P>0.05).After treatment,the levels of TBil and ALT in the observation group were lower than those in the control group,while the level of ALB was higher than that in the control group,with statistically significant differences (P<0.05).The total effective rate of the test group was 93.00%,higher than that of the control group(70.00%),and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Entecavir combined with Adefovir Dipivoxil in the treatment of chronic hepatitis B can effectively improve the level of TBil,ALT and ALB,and increase the total effective rate of clinical treatment.and reduce the incidence of adverse reactions.It is worthy of clinical application
Key wordsEntecavir    Adefovir Dipivoxil    Chronic hepatitis B    Level
收稿日期: 2020-03-11     
基金资助:江西省卫生计生委科技计划项目(20197037)
作者简介: 王燕燕(1981-),女,汉族,本科,主治医师,研究方向:感染性疾病(肝病专业)
引用本文:   
王燕燕. 恩替卡韦联合阿德福韦酯治疗慢性乙型肝炎的临床效果[J]. 中国当代医药, 2020, 27(24): 59-61.
WANGYan-yan. Clinical effect of Entecavir combined with Adefovir Dipivoxil in the treatment of chronic hepatitis B. 中国当代医药, 2020, 27(24): 59-61.
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