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阿德福韦酯联合丹参治疗肝纤维化的疗效观察
引用本文:陈青锋,肖萍,冯钧帅,杨彦麟,郭振华.阿德福韦酯联合丹参治疗肝纤维化的疗效观察[J].国际流行病学传染病学杂志,2009,36(5).
作者姓名:陈青锋  肖萍  冯钧帅  杨彦麟  郭振华
作者单位:1. 兰州大学第一医院传染病研究所,730000
2. 兰州大学第一医院传染科,730000
摘    要:目的 探讨阿德福韦酯联合丹参治疗慢性乙型肝炎(CHB)肝纤维化的临床疗效.方法 选择符合标准的CHB患者62例,随机分为阿德福韦酯联合丹参组、丹参组和对照组,所有患者于治疗前和治疗1年后检测肝纤维化相关指标、HBV DNA及其肾功能.结果 阿德福韦酯联合丹参组的肝纤维化指标(透明质酸、层黏蛋白、Ⅳ型胶原和TGF-β1)较单用丹参组和对照组明显降低(P<0.05).结论 阿德福韦酯联合丹参有明显降低血清肝纤维化指标作用.

关 键 词:肝炎  乙型  慢性  肝纤维化  阿德福韦酯  丹参

Clinical efficacy of combination treatment of adefovir dipivoxil and salvia miltiorrhiza to the hepatic fibrosis
Abstract:Objective To investigate the clinical efficacy of combination treatment of adefovir dipivoxil(ADV)and salvia miltiorrhiza to the hepatic fibrosis caused by hepatitis B.Methods 62 patients with chronic hepatitis B randomly divided into 3 groups:ADV with salvia miltiorrhiza group,salvia miltiorrhiza group and control group.The indicators correlated hepatic fibrosis,HBV DNA and renal function were detected in all patients with chronic hepatitis B before treatment and after one-year treatment.Results The indicators correlated hepatic(LN,HA,IV-C,TGF-β1)with combination treatment of ADV with salvia miltiorrhiza group was the lowest in those groups after one-year treatment P<0.05).Conclusions Combination treatment of ADV and salvia miltiorrhiza reduce the indicators correlated hepatic fibrosis obviously.
Keywords:Hepatitis B  chronic  Hepatic fibrosis  Adefovir dipivoxil  Salvia miltiorrhiza
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