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聚乙二醇干扰素α-2a联合阿德福韦酯治疗HBeAg阳性慢性乙肝
杨永锐1
昆明市第三人民医院
摘要:
[摘要]目的 探讨阿德福韦酯与聚乙二醇干扰素α-2a联合治疗HbeAg 阳性慢性乙肝的疗效.方法 将122例HbeAg 阳性的慢性乙肝患者,随机分成2组,治疗组和对照组,每组61例治疗组,采用阿德福韦酯10 mg/d口服并联合聚乙二醇干扰素α-2a 180 ug,每周1 次皮下注射,治疗48 周;对照组,聚乙二醇干扰素α-2a 180u g 每周1 次皮下注射.结果 治疗24周及48周时在HbeAg 血清学转换率,HBV-DNA阴转率方面,2组相比差异有统计学意义(P<0.05).结论 阿德福韦酯与聚乙二醇干扰素α-2a联合治疗HbeAg 阳性慢性乙肝抗病毒效果优于单用聚乙二醇干扰素α-2a抗病毒效果.
关键词:  [关键词]乙型肝炎  阿德福韦酯  聚乙二醇干扰素α-2a
DOI:
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基金项目:
The Curative Effect of Polyethylene Glycol(peg)Interferon Alpha 2a Combined with Adefovir on HbeAg Positive Chronic Hepatitis B
YANG Yong-rui
Abstract:
[Abstract]Objective To explore the curative effect of combination of polyethylene glycol interferon alpha 2 a and adefovir on HbeAg positive chronic hepatitis B.Methods 122 patients with HbeAg positive chronic hepatitis B were randomly divided into two groups: treatment group and control group. Patients in the treatment group were given oral administration of adefovir for 10 mg/d and subcutaneous injection of polyethylene glycol interferon alpha 2 a for 80 ug once a week for 48 weeks. Patients in the control group were only given subcutaneous injection of polyethylene glycol interferon alpha 2 a for 80 ug once a week for 48 weeks.Result There was statistically significant difference in the serology conversion rate of HbeAg and negative transfer rate of HBV-DNA in patients between two groups after treatment for 24 week and 48 week(P<0.05).Conclusion The antiviral effect of combination of adefovir and polyethylene glycol interferon alpha 2 a is better than single use of polyethylene glycol interferon alpha 2 a in treatment of HbeAg positive chronic hepatitis B.
Key words:  [Key words]Hepatitis B  Adefovir  Polyethylene glycol(peg)  Interferon alpha α-2a