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替比夫定治疗慢性乙型肝炎的临床研究
引用本文:汤东澄,谢冬梅,徐娟娟,何俊毅,姚立红,杨壮智,李永丰. 替比夫定治疗慢性乙型肝炎的临床研究[J]. 浙江中医药大学学报, 2009, 33(2): 214-215
作者姓名:汤东澄  谢冬梅  徐娟娟  何俊毅  姚立红  杨壮智  李永丰
作者单位:浙江省永嘉县中医医院,永嘉,325102
摘    要:[目的]探讨替比夫定治疗慢性乙型肝炎的疗效。[方法]将164例慢性乙型肝炎患者分为治疗组85例,对照组79例,分别应用替比夫定和拉米夫定抗病毒治疗48周以观察其疗效。[结果]治疗组和对照组ALT复常率,HBeAg阳性分别为87.50%和71.15%;HBV DNA下降值HBeAg阳性为-5.3和-4.2log10 copies/ml,阴性为-6.6和-5.5log 10copies/ml;HBeAg转阴率分别为28.57%和23.08%;HBeAg血清转换率为23.21%和15.38%;耐药率HBeAg阳性为3.57%和11.53%,阴性为3.45%和14.81%;差异有显著性(P〈0.05)。[结论]替比夫定具有抗乙型肝炎病毒特异性,与拉米夫定比较,其抑制病毒能力强,病毒耐药发生率低,HBeAg血清转换率高,安全性好。

关 键 词:乙型肝炎  病毒  替比夫定  拉米夫定

Clinical Study on Telbivudine Treating Chronic Hepatitis B
Tang Dongdeng,Xie Dongmei,Xu Juanjuan,et al Yongjia County Hospital of Zhejiang Province. Clinical Study on Telbivudine Treating Chronic Hepatitis B[J]. Journal of Zhejiang University of Traditional Chinese Medicine, 2009, 33(2): 214-215
Authors:Tang Dongdeng  Xie Dongmei  Xu Juanjuan  et al Yongjia County Hospital of Zhejiang Province
Abstract:[Objective] To discuss the efficacy of Telbivudine treating chronic hepatitis B.[Method] Randomly divide 164 cases into treatment group 85 and control one 79,respectively taking Telbivudine and Ramivudine for anti virus for 48 w,then observe their efficacy.[Result] The ALT normalization and HbeAg positive rates were separately 87.50% and 71.15% for both groups; HBV DNA reduction rates and HbeAg postive-5.3 and-4.2log10 copies/ml,negative-6.6 and-5.5 log10 copies/ml;HbeAg negative rates respectively 28.57% a...
Keywords:hepatitis B  virus  Telbivudine  Ramivudine  
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