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机构地区:[1]上海市南汇区南华医院肝炎科,上海201300
出 处:《世界感染杂志》2008年第3期207-209,共3页World Journal of Infection
摘 要:目的观察阿德福韦酯与扶正化淤胶囊联合治疗慢性乙型肝炎的疗效。方法85例病人随机分为阿德福韦酯组和阿德福韦酯与扶正化淤胶囊联合组,检测肝功能、乙型肝炎血清学标志物(HBVM)、HBVDNA和肝纤维化指标(血清HA、LN、PCⅢ、Ⅳ—C)等。结果6mo后两组肝功能恢复较明显,但ALT、AST的复常率与好转率比较无显著差异(P〉0.05);两组HBeAg阴转率、HBeAg/HBeAb血清转换率与HBVDNA阴转率比较均无显著差异(P〉0.05);联合组肝纤维化恢复更明显,与阿德福韦酯组比较有显著差异,肝纤维化指标(血清HA、LN、PCⅢ、Ⅳ—C)两组比较P〈0.01。结论阿德福韦酯与扶正化淤胶囊联合治疗抗肝纤维化有一定的意义。Objective To evaluate the efficacy adefovior dipivoxil(ADV) and Fu Zheng Hua Yu capsule treatment for chronic hepatitis B patients. Methods Eighty-five patients were randomly put into two groups: ADV group, ADV and Fu Zheng Hua Yu capsule united group. Observe liver functions (ALT, AST), HBVM, HBV-DNA and HA, LN, PCⅢ, Ⅳ-C. Results The rations of recovery for liver functions and the negativity rate of HBeAg, HBV-DNA including sero-conversion rate of HBeAg/HbeAb were increased after treatment. While the difference between the two groups were not satistically significant (P〉0.05). The serum levels of HA, LN, PCⅢ, Ⅳ-C were better before treatment. There were significant difference in the united group and ADV group with the serums of signs of the hepatic fibrosis(HA, LN, PCⅢ, Ⅳ-C). Conclusions This indicat6d the ADV and Fu Zheng Hua Yu capsule has some efficacy of Anti-hepatic fibrosis.
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