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六味五灵片联合恩替卡韦治疗HBeAg阳性慢性乙型肝炎患者的疗效观察
作者:高爱华 王新丽 姜清河 张凤朝 
单位:沧州市传染病医院 沧州市 061001 
关键词:肝炎 乙型 慢性 六味五灵片 恩替卡韦 
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出版年,卷(期):页码:2011,3(1):35-37
摘要:

摘要:目的 探讨恩替卡韦(ETV)联合六味五灵片治疗HBeAg阳性慢性乙型肝炎(CHB)患者的疗效。方法 102例HBeAg阳性CHB患者随机分为两组,联合治疗组50例每日服用ETV 0.5 mg,六味五灵片1.5 g,每日3次;对照组52例每日服用ETV 0.5 mg。分别观察服药第12、24、52周时肝肾功能、血清HBeAg及HBV DNA水平。结果 治疗52周结束时联合治疗组和对照组ALT复常率分别为 复常率分别为88%和69.23%(P < 0.01);HBeAg/HBeAb血清学转换率分别为34%和25%(P < 0.05)。结论 联合治疗组在ALT复常及HBeAg/HBeAb血清学转换方面均优于对照组,六味五灵片联合恩替卡韦可以起到很好的协同抗病毒的作用。

Abstract: Objective To observe the clinical effects of Liuweiwuling tablets in combination with entecavir (ETV) on chronic hepatitis B patients with HBeAg positive. Methods Total of 102 chronic hepatitis B patients with HBeAg positive were randomly divided into treatment group and control group: the control group were treated with ETV (0.5 mg/d) for 52 weeks; while the treatment group were  treated with Liuweiwuling  tablets, besides the ETV (0.5 mg/d) therapy for 52 weeks. The liver and kidney function, serum HBeAg and HBV DNA were observed at the 12, 24, 52 weeks. Results The ALT recovery rate of treatment group and control group were 88%, 69.23% at 52 weeks respectively, there were significant statistical differences between the two groups (P < 0.01); the seroconversion rate of HBeAg/HBeAb are 34%, 25%, respectively (P < 0.05). Conclusions The liver function index and the seroconversion rate of HBeAg/HBeAb in treatment group are better than control group, Liuweiwuling tablets in combination with ETV has a great cooperative effect on inhibiting hepatitis B virus for chronic hepatitis B patients with HBeAg positive.

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