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解放军预防医学杂志  2016, Vol. 34 Issue (5): 712-714    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
恩替卡韦对慢性乙型肝炎患者免疫功能的影响
袁宇慧, 程辉
徐州市传染病院传染科, 江苏徐州 221000
Influence of Entecavir on Immunologic Functions of Patients with Chronic Hepatitis B
YUAN Yuhui, CHENG Hui
Department of Infectious Disease,Xuzhou Municipal Infectious Disease Hospital,Xuzhou Jiangsu 221000,China
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摘要 目的 探讨恩替卡韦对慢性乙型肝炎(简称乙肝)患者免疫功能的影响。方法 选择慢性乙肝患者231例,随机分为观察组116例和对照组115例。对照组进行常规护肝治疗,观察组加用恩替卡韦。观察治疗前后HBV DNA、肝功能相关指标水平及免疫功能的变化。结果 治疗后,观察组HBV DNA水平显著低于对照组,肝功能各项指标改善显著优于对照组(P<0.05);观察组治疗后CD4+T细胞百分比及与CD8+T细胞比值显著提高,CD5+CD19+B细胞百分比显著下降,C3、C4水平显著上升(P<0.05),且与对照组比较,差异有统计学意义(P<0.05);两组均无严重不良反应。结论 恩替卡韦治疗慢性乙肝安全性高,可降低HBV DNA表达量,改善肝功能,提高免疫机体功能。
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关键词 恩替卡韦 慢性乙型肝炎 免疫功能 肝功能    
AbstractObjective To explore the effect of entecavir on immunologic functions of patients with chronic hepatitis B.Methods Totally 231 patients with chronic hepatitis B were selected and randomly divided into observation group (116 cases) and control group (115 cases). Routine liver-protecting treatment was given to control group, and observation group was added with entecavir. The level of HBV-DNA, liver function indexes and change of immunologic functions were observed.Results After treatment, the level of HBV-DNA was lower and the improvement of liver function indexes were better in observation group than those in control group, and there was statistically significant difference (P<0.05). The level of CD4+T cells and their ratio to CD8+T cells were significantly increased, the percentage of CD5+CD19+ B cells was obviously decreased, and the level of C3, C4 was significantly increased in observation group after treatment. Conclusion with control group, the difference was of statistical significance (P<0.05). There were no serious adverse reactions in either group.Conclusion Entecavir, which is safe for chronic hepatitis B, can reduce the expression of HBV DNA , improve the liver functions and immunological functions.
Key wordsentecavir    chronic hepatitis B    immunologic function    liver function
     出版日期: 2016-11-02
引用本文:   
袁宇慧, 程辉. 恩替卡韦对慢性乙型肝炎患者免疫功能的影响[J]. 解放军预防医学杂志, 2016, 34(5): 712-714.
YUAN Yuhui, CHENG Hui. Influence of Entecavir on Immunologic Functions of Patients with Chronic Hepatitis B. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(5): 712-714.
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