中西医结合治疗HBeAg阴性慢性乙型肝炎的临床研究
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Clinical Study of Treating Chronic Hepatitis B of Negative HBeAg with Integrative Chinese and Western Medicine
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    摘要:

    目的:观察中西医结合治疗HBeAg阴性慢性乙型肝炎的临床疗效及安全性。方法:将144例患者按照数字随机法以3:1的比例依次纳入观察对象,最后纳入评价者136例,其中治疗组102例给予疏肝扶正合剂,同时联用北京远策药业有限责任公司生产的远策素(干扰素IFN-α2b)5MU,6个月为1个疗程;对照组单用远策素(干扰素IFN-α2b)治疗,用法同治疗组。分别于治疗前后评价症状、体征、肝功能、HBV-DNA、影像学指标和临床综合疗效。结果:治疗组和对照组的近期(治疗6个月后)基本有效率分别为62.75%及41.18%,两组比较差异有显著性,治疗组明显高于对照组(P<0.05),而总有效率差异无统计学意义(P>0.05);随访6个月时,治疗组HBV-DNA阴转率明显高于对照组(P<0.05);治疗6个月与治疗前比较,两组ALT、AST均有明显下降,差异有统计学意义(P<0.01),组间比较差异无统计学意义(P>0.05)。结论:中西医结合治疗HBeAg阴性慢性乙型肝炎疗效显著,安全性好。

    Abstract:

    to observe clinical effectiveness and safety of integrative Chinese and western medicine on treatment of chronic hepatitis B of negative HBeAg.Methods:144 patients were randomly selected for trials in the ratio 3:1. Among final 136 subjects,102 subjects were given Shugan Fuzheng Heji (Liver- soothing health restoring composition) plus IFN-α2b (manufacturer: Beijing Interferon Pharmaceuticals. Co.) for a treatment course of 6 months; the control group was treated with IFN-α2b only. Symptoms,physical signs,liver function,HBV-DNA,imageology index,and clinical effectiveness were observed before and after treatment.Results:after six months of treatment,the effective rate of treatment group was 62.75% and the control group,41.18% with a significant difference (P<0.05),but total effective rates were not significantly different (P>0.05). In the six month follow-up,the treatment group had a significantly higher rate of HBV-DNA negative conversion rate in comparison with that of the control group(P<0.05); after treatment,ALT and AST levels were decreased in both groups (P<0.01),and there was no significant difference between two groups.Conclusion:integrated Chinese and western medical treatment is effective and safe for chronic hepatitis B of negative HBeAg.

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谷灿立 张振强 付月箫 李新强 杨韶峰.中西医结合治疗HBeAg阴性慢性乙型肝炎的临床研究[J].世界中医药,2008,3(4).

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  • 收稿日期:2007-08-29
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  • 在线发布日期: 2012-11-02
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