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拉米夫定对乙肝合并肺结核病患者抗结核的临床观察
引用本文:李多云,刘黎,周健,黄丽雯.拉米夫定对乙肝合并肺结核病患者抗结核的临床观察[J].临床肺科杂志,2011,16(4):555-556.
作者姓名:李多云  刘黎  周健  黄丽雯
作者单位:武汉,武汉科技大学附属天佑医院感染科,湖北,430064
摘    要:目的观察拉米夫定抗病毒治疗对乙型肝炎合并肺结核患者在抗结核化疗过程中的临床作用。方法选择45例乙型肝炎合并肺结核患者,随机分为两组:抗病毒治疗+护肝治疗+抗结核治疗组(A组)、护肝治疗+抗结核治疗组(B组),观察治疗前后肝功能和HBV DNA变化情况。结果 B组肝功能明显高于A组,差异有统计学意义(P〈0.05);且B组停药率明显高于A组(P〈0.05),B组HBVDNA水平明显较A组升高(P〈0.05)。结论拉米夫定抗病毒治疗能抑制乙肝病毒的复制,防止乙肝病情的加重,从而明显减轻乙肝合并肺结核患者抗结核过程中出现的肝脏功能损害情况。

关 键 词:拉米夫定  乙型病毒性肝炎  肺结核

Clinical Observation of Lamivudine Therapy on Hepatitis B Patients with Pulmonary Tuber culosis after Use of Antituberculosis
LI Duo-yun,LIU Li,ZHOU Jian,HUANG Li-wen.Clinical Observation of Lamivudine Therapy on Hepatitis B Patients with Pulmonary Tuber culosis after Use of Antituberculosis[J].Journal of Clinical Pulmonary Medicine,2011,16(4):555-556.
Authors:LI Duo-yun  LIU Li  ZHOU Jian  HUANG Li-wen
Institution:LI Duo-yun,LIU Li*,ZHOU Jian,HUANG Li-wen Department of Infectious Disease,Tianyou Hospital,Wuhan University of Science and Technology,Wuhan430064,China
Abstract:Objective To observe the clinical effect of lamivudine treatment of hepatitis B patients with pulmonary tuber culosis after use of antituberculosis.Methods45 cases of pulmonary tuberculosis in patients with hepatitis B were randomly divided into two groups:anti-virus + anti-TB treatment + routine therapy treatment group(A group),routine therapy + anti-TB treatment group(B group),liver function and changes in HBV DNA before and after treatment were observed.ResultsThe liver function of B group was significan...
Keywords:lamivudine  hepatitis B  tuberculosis  
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