慢性复发性丙型肝炎的优化治疗疗效分析与比较 |
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引用本文: | 方艳,张琼方,张大志.慢性复发性丙型肝炎的优化治疗疗效分析与比较[J].重庆医学,2015(23):3218-3220. |
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作者姓名: | 方艳 张琼方 张大志 |
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作者单位: | 重庆医科大学附属第二医院感染病科 400010 |
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摘 要: | 目的:研究探讨慢性复发性丙型肝炎的优化治疗方案及其最新研究。方法选择2008年5月至2012年5月至该院传染病科就诊的慢性复发性丙肝的患者50例,分为两组,每组25例,甲组采用标准治疗延长疗程方案,乙组采用标准治疗加大剂量方案,通过观察两组的持续病毒学应答(SVR)来比较两组治疗方法的效果,并观察6个月后的复发情况。结果甲组获得32%的 SVR 率,乙组获得23%的 SVR 率;6个月后甲组的复发率为38%,乙组为43%,差异均有统计学意义(P <0.05)。结论甲组的标准治疗延长疗程方案的临床 SVR 率高于乙组。
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关 键 词: | 复发性丙型肝炎 优化治疗 复发率 疗效分析 |
Analysis and comparison in optimized treatment of chronic recurrent hepatitis C |
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Abstract: | Objective To optimize the treatment of chronic hepatitis C recurrence.Methods During May 2008 to May 2012, 50 patients with chronic recurrent hepatitis C were chosen in the infectious department of our hospital.They were divided into two groups with 25 cases in each group.Group A was treated by standard extended treatment scheme,while Group B was treated by standard large dose scheme.The effect was estimated by the observation of sustained virologic response in the two groups (sus-tained virologic response,SVR).Results 32% SVR rate was found in group A and 23% SVR rate was found in Group B.38% re-currence rate appeared in group A after six months and 43% recurrence rate occurred in group B,there were significant difference between two groups(P <0.05).Conclusion The standard extended treatment schemes of pegylated interferon and ribavirin is su-perior to group B in SVR rate. |
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Keywords: | recurrent hepatitis C optimal treatment recurrence rate efficacy |
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