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拉米夫定与α-干扰素治疗慢性乙型肝炎的疗效对比
引用本文:龙涛,徐龙,徐贞秋,付军. 拉米夫定与α-干扰素治疗慢性乙型肝炎的疗效对比[J]. 实用临床医学(江西), 2012, 13(7): 11-12,27
作者姓名:龙涛  徐龙  徐贞秋  付军
作者单位:南昌市第九医院肝二科,南昌,330002
摘    要:目的 比较α-干扰素与拉米夫定治疗慢性乙型肝炎的疗效.方法 将100例慢性乙型肝炎患者按随机数字表法分为2组.研究组:拉米夫定100 mg·d-1,口服,1次·d-1;对照组:α-干扰素5 mU,肌内注射,隔日1次.2组疗程均为12个月.结果 研究组丙氨酸转氨酶恢复正常率、HBV-DNA转阴率明显高于对照组,2组比较差异有统计学意义(P<0.05).2组HBeAg血清学转换率差异无统计学意义(P>0.05).结论 拉米夫定较α-干扰素有更好的抗病毒效果.

关 键 词:乙型肝炎,慢性  α-干扰素  拉米夫定

Comparison of Lamivudine and Alpha-interferon for Chronic Hepatitis B
LONG Tao , XU Long , XU Zhen-qiu , FU Jun. Comparison of Lamivudine and Alpha-interferon for Chronic Hepatitis B[J]. Practical Clinical Medicine, 2012, 13(7): 11-12,27
Authors:LONG Tao    XU Long    XU Zhen-qiu    FU Jun
Affiliation:(The Second Liver Unit,the Ninth Hospital of Nanchang,Nanchang 330002,China)
Abstract:Objective To compare the curative effects of alpha-interferon(α-IFN) and lamivudine on chronic hepatitis B.Methods One hundred patients with chronic hepatitis B were randomly assigned to receive either oral lamivudine 100 mg/day once daily or intramuscular injection of α-IFN 5 mU twice daily.The treatment course was 12 months.Results The rate of alanine transaminase returning to normal and the negative conversion rate of HBV-DNA in lamivudine treatment group were significantly higher than those in α-IFN treatment group(P0.05).Conclusion Lamivudine has better antiviral efficacy than α-IFN.
Keywords:hepatitis B,chronic  alpha-interferon  lamivudine
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