Preliminary Study on Specific Active Immunotherapy in the Treatment of Chronic Hepatitis B.
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摘要: 探讨特异性主动免疫疗法对慢性乙型肝炎的疗效。将 6 0例慢乙肝病例随机分成两组 ,待肝功能正常后 ,治疗组给予治疗用疫苗每月一次皮下注射 ,四个月一个疗程。治疗组 30例中 4例HBsAg阴转 ,9例HBeAg阴转 ,对照组只一例阴转 ,两组差异显著P <0 0 5。治疗组HBVDNA定量治疗前为 (0 0 3± 0 0 2× 10 5)拷贝 /ml,治疗结束时为 (0 0 0 7± 0 0 0 3× 10 5)拷贝 /ml,而对照组无明显变化 ,两组差异非常显著t =5 48。特异性主动免疫疗法对慢性乙型肝炎可能有一定的疗效Abstract: To study the efficacy of specific active immunotherapy in the treatment of chronic hepatitis B. 60 patients diagnosed as chronic hepatitis B With normal liver functiion after being treated with conventional therapy were randomly assigned into two groups (treated group and control group) . The treated group including 30 cases were treated with specific active immunotherapy for 4 months and the control group received a conventional treatment for 4 months. 4 of the 30 cases in the treated group were seroconverted from positive to negative against HBsAg, while none of the 30 cases in the control group became HBeAg negative. 9 of the 30 cases in the treated group became negative HBeAg, contrastively, only one case in the control group became HBeAg negative (P<0 05) . Moreover, the HBVDNA copies was markedly reduced from (0.03±0.02×10 5) copies/ml to (0.007±0.003×10 5) copies/ml in the treated group as compared with the control group (t=5.48) . From this preliminary clinical study, it is suggested that the specific active immunotherapy might has a benificial effect on chronic hepatitis B cases.
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Key words:
- Specific active immunotherapy /
- Chronic hepatitis B
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[1]Pols , CouillinI , MichelML , etal.Immunotherapyofchronichep atitisBbyantiHBVvaccine[J] ActaGastronterolBelg , 1998, 16∶2 2 8. [][2 ]AkbarSM , KajinoK , TanimotoK , etal.Placebo -controlledtrailofvaccinationwithhepatitsBvirussurfaceantigeninhepatitsBvirustransgenicmice[J] JHepatol, 1997, 2 6∶131.
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