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拉米夫定和普通干扰素初始联合治愈HBeAg阳性CHB患者1例
作者:郭鹏 1   刘园园 1   李小芳 2   詹一飞 2   郑秋莹 2   冯倩 2   石香玉 2   谭华炳 1  
单位:1.湖北医药学院附属人民医院肝病研究所 感染性疾病科 湖北 十堰 442000 2.湖北医药学院第三临床学院 湖北 十堰 442000 
关键词:肝炎 乙型 慢性 乙型肝炎病毒e抗原 核苷(酸)类似物 干扰素 乙肝疫苗 联合治疗 
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出版年,卷(期):页码:2018,10(1):86-88
摘要:

摘要:实现HBsAg转阴和转化是CHB治疗的理想终点。本文报告1例HBeAg阳性CHB患者初始联合拉
米夫定和普通干扰素治疗,治疗48周后实现HBsAg转阴,在继续联合抗病毒治疗的基础上接种乙肝疫
苗(0个月、1个月、6个月),64周时HBsAb达50 mIU/ml,72周时达150 mIU/ml,判定为临床治愈,
停止抗病毒治疗。提示科学合理联合抗病毒治疗,必要时加用乙肝疫苗和免疫增强剂,可能使CHB患
者达到临床治愈。

Abstract: Realization of HBsAg negative conversion and transformation is the ideal endpoint of CHB
therapy. We reported a case of CHB patients with HBeAg positive who was given combination treatment of
lamivudine (LAM) and interferon (IFN) for 48 weeks, and HBsAg conversed to be negative. On the basis of
anti-viral treatment, the patients were inoculated with hepatitis B vaccine (0 month, 1 month and 6 month).
The level of HBsAb was 50 mIU/ml at 64 week and 150 mIU/ml at 72 week. The patients get clinical cure
and discontinued antiretroviral treatment. Among the different possibilities contemplated, combined treatment
is effective in HBV infection. The effectiveness of combined treatment should be researched with hepatitis B
vaccine or mmunopotentiator, as occasion requires.

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