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苦参素联合核苷类似物治疗慢性乙型肝炎的评价
引用本文:苏娜,吴斌,徐珽,唐尧.苦参素联合核苷类似物治疗慢性乙型肝炎的评价[J].中国医院药学杂志,2011(1).
作者姓名:苏娜  吴斌  徐珽  唐尧
作者单位:四川大学华西医院药剂科;
摘    要:目的:评价苦参素联合核苷类似物治疗慢性乙型肝炎(CHB)的安全性和有效性。方法:计算机检索PubMed、中国生物医学文献数据库(1978-2009)、中文科技期刊全文数据库(1989-2009年)纳入苦参素联合核苷类似物治疗CHB的随机对照试验(RCT)文献,手工检索其他的相关文献,对纳入研究进行方法学质量评价,并采用Rev Man5.0.0软件对其进行Meta分析。结果:共纳入11个RCT,苦参素联合拉米夫定治疗CHB的HBeAg/抗HBe血清转换率,联合组优于单用组RR2.16,95%CI(1.30,3.59)]。苦参素联合阿德福韦治疗CHB的血清ALT复常率;血清HBV-DNA转阴率;血清HBeAg转阴率;HBeAg/抗HBe血清转换率,联合组均优于单用组,且差异有统计学意义,其RR和95%CI分别为:RR1.28,95%CI(1.17,1.40)]、RR1.27,95%CI(1.13,1.42)]、RR1.80,95%CI(1.32,2.44)]、RR2.06,95%CI(1.43,2.95)]。苦参素联合恩替卡韦治疗CHB血清ALT复常率和HBeAg/抗HBe血清转换率联合组均显著优于单用...

关 键 词:苦参素  慢性乙型肝炎  系统评价  

Efficacy and safety of Kushenin combined with nucleoside analogues in the treatment of chronic hepatitis B:a systematic review
SU Na,WU Bin,XU Ting,TANG Yao.Efficacy and safety of Kushenin combined with nucleoside analogues in the treatment of chronic hepatitis B:a systematic review[J].Chinese Journal of Hospital Pharmacy,2011(1).
Authors:SU Na  WU Bin  XU Ting  TANG Yao
Institution:SU Na,WU Bin,XU Ting,TANG Yao(Department of Pharmacy,West China Hospital,Sichuan University,Sichuan Chengdu 610041,China)
Abstract:OBJECTIVE Review the effect and safety of Kushenin combined with nucleoside analogues for the treatment of chronic hepatitis B(CHB). METHODS Randomized controlled trails of Kushenin combined with nucleoside analogues for CHB were gathered from PubMed,CBMdisc(1978-2009),CNKI(1979-2009),while other relative researches were hand-searched;every research was evaluated,then analyzed by software of RevMan5.0.0. RESULTS Eleven randomized controlled trials were included.The therapeutic effect of kushenin combined wi...
Keywords:Kushenin  chronic hepatitis B  systematic review  
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