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find Keyword "核苷类似物" 2 results
  • 慢性乙型肝炎核苷类似物抗病毒治疗应答的影响因素

    我国乙型肝炎病毒感染率高,慢性乙型肝炎的治疗目标是最大限度地长期抑制乙型肝炎病毒,延缓和减少疾病进展及肝脏失代偿、肝硬化、肝细胞癌等的发生,从而改善生活质量和延长存活时间。随着干扰素及核苷类似物两大类抗病毒治疗的进展,发现不同的患者在治疗疗效上有很大差异,研究认为,核苷类似物抗乙型肝炎病毒治疗的疗效主要受药物、病毒及宿主3个方面因素的影响。

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  • Effectiveness of Lamividine Combined with Adefovir versus Entecavir for Lamivudineresistant Hepatitis B in Renal Transplant Recipients: A Cohort Study

    ObjectiveTo explore the effectiveness of lamividine (LAM) combined with adefovir (ADV) versus entecavir (ETV) for lamivudine-resistant (LAM-R) hepatitis B in renal transplant recipients. MethodOutpatients and inpatients of lamivudine-resistant kidney graft recipients with chronic hepatitis B admitted to West China Hospital and the People's Hospital of Santai County during Jan 2007 to Mar 2012 were divided into A group (LAM+ADV) and B group (ETV). And the level of alanine aminotransferase (ALT), level of serum creatinine, HBV serological markers and HBV-DNA load were compared by SPSS 16.0 software. ResultsA total of 15 patients were included. The mean age was 36.7±6.6 years old, the majority of patients were male. After treatment for 4 weeks, 12 weeks, 24 weeks, 48 weeks, 96 weeks, no significant differences were found between two groups in liver function normalization rates, the HBV-DNA negative conversion rates and serum creatinine level. ConclusionsLAM add-on ADV combination therapy and ETV monotherapy were both safe and effective in LAM-R kidney transplants with CHB, but the load of HBV-DNA in some patients were still positive at the endpoint. Elevated serum creatinine level may occur in some patients who treated with ADV. Consequently, for HBsAg-positive kidney transplantation patients, those anti-HBV drugs that are more effective, safer and less resistant may be better in the beginning of treatment.

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