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拉米夫定治疗慢性乙型肝炎的病原学研究
引用本文:李宜,高人焘,周陶友,刘小波.拉米夫定治疗慢性乙型肝炎的病原学研究[J].安徽医科大学学报,2002,37(3):206-208.
作者姓名:李宜  高人焘  周陶友  刘小波
作者单位:1. 安徽省立医院传染科,合肥,230001;2. 四川大学生命科学院,成都,610041
摘    要:目的观察拉米夫定治疗对慢性乙肝患者体内HBVDNA的影响.方法对拉米夫定治疗组31例(po,100mg/d,25周)和对照20例组进行HBV DNA的斑点杂交和PCR半定量检测;未阴转者扩增含YMDD编码区的基因片段测序.结果拉米夫定治疗组4周、8周、24周、52周HBVDNA阴转率分别为55%、68%、80%、73%,远高于对照组(P<0.05);治疗组的YMDD变异株检出率亦高于对照组.结论拉米夫定对HBV有较强的抑制作用,但同时诱发较多的YMDD变异.

关 键 词:肝炎  乙型  慢性  拉米夫定/治疗应用
文章编号:1000-1492(2002)03-0206-03
修稿时间:2002年2月25日

Pathogenic study of chronic hapatitis B treated by lamivudine
Li Yi,Gao Rentao,Zhou Taoyou,et al.Pathogenic study of chronic hapatitis B treated by lamivudine[J].Acta Universitis Medicinalis Anhui,2002,37(3):206-208.
Authors:Li Yi  Gao Rentao  Zhou Taoyou  
Abstract:Objective To evaluate the effect of lamivudine on chronic hepatitis B. Methods HBV DNA weredetected in test and control group using dot blot and semiquantitative PCR; Part of HBV DNA including YMDD code region were amplified and sequenced for the patients positive at the end. Results HBV DNA negative rate was 55%, 68%,80%,73%, respectively and 5 YMDD mutant viruses were detected in test group. There is significant difference between test group and control group. Conclusions HBV was inhibited by lamivudine, and more YMDD mutants were induced
Keywords:hepatitis B  chronic/drug therapy  Lamivudine/therapeutic use
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