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恩替卡韦联合地塞米松治疗慢性重型乙型肝炎临床研究
引用本文:牛龙喜,郭俊岗,刘旭玲,刘淑珍,师雁媛,刘长凯. 恩替卡韦联合地塞米松治疗慢性重型乙型肝炎临床研究[J]. 中原医刊, 2011, 0(9): 8-9
作者姓名:牛龙喜  郭俊岗  刘旭玲  刘淑珍  师雁媛  刘长凯
作者单位:山西省大同市第四人民医院,037008
摘    要:目的探讨恩替卡韦联合地塞米松治疗慢性重型乙型肝炎的疗效。方法将128例慢性重型乙型肝炎患者随机分为治疗组64例,对照组64例,两组均给予同样的综合治疗,治疗组增加恩替卡韦和地塞米松治疗。结果治疗组血清HBV—DNA转阴率为91.5%(P〈0.01),丙氨酸氨基转移酶、血清总胆红素恢复正常率为67.2%、62.5%,总有效率为85.9%,病死率为14.1%,明显优于对照组(P〈0.05)。结论恩替卡韦联合地塞米松治疗慢性重型乙型肝炎疗效佳。

关 键 词:慢性重型乙型肝炎  恩替卡韦  地塞米松

Clinical study of entecavir combined with dexamethasone for treatment of chronic severe hepatitis B
NIU Long-xi,GUO Jun-gang,LIU Xu-ling,LIU Shu-zhen,SHI Yan-yuan,LIU Chang-kai. Clinical study of entecavir combined with dexamethasone for treatment of chronic severe hepatitis B[J]. Central Plains Medical Journal, 2011, 0(9): 8-9
Authors:NIU Long-xi  GUO Jun-gang  LIU Xu-ling  LIU Shu-zhen  SHI Yan-yuan  LIU Chang-kai
Affiliation:(The fourth People' s Hospital of Datong, Datong 037008, China)
Abstract:Objective To investigate the effect of entecavir combined with dexamethasone treatment on chronic severe hepatitis. Methods One hundred and twenty -eight patients with chronic severe hepatitis B were randomly divided into treatment group (64 patients) and control group (64 patients), two groups were given the same comprehensive treatment, the treatment group received entecavir and dexam- ethasone in addition. Results The serum HBV - DNA negative rate was 91.5 % ( P 〈 0.01 ) in treatment group, the ALT, TBIL normal rate were 67.2%, 62.5%, total effective rate was 85.9%, mortality was 14.1% in treatment group, which were significantly better than control group( P 〈0.05). Conclusions Entecavir combined with dexamethasone treatment for chronic severe hepatitis B has good effect.
Keywords:Chronic severe hepatitis B  Entecavir  Dexamethasone
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