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。
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.
出处
《中国实用医刊》
2011年第9期8-9,共2页
Chinese Journal of Practical Medicine