The anti-hepatic fibrosic effect of Anluohuaxian pill combined with lamivudine on the treatment of chronic hepatitis B patients
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摘要: 目的研究联合使用抗病毒药物和安络化纤丸治疗慢性乙型肝炎抗肝纤维化疗效。方法分析单纯降酶治疗、拉米夫定、安络化纤丸、联合拉米夫定和安络化纤丸治疗的100例慢性乙型肝炎患者临床资料,比较治疗前后肝纤维化血清标志物、B超、HBVDNA、HBeAg阴转率。结果联合用药治疗有一定抗肝纤维化作用。联合用药、拉米夫定治疗后血清HBVDNA、HBeAg阴转率均高于降酶组、安络化纤丸组。降酶组、拉米夫定组、安络化纤丸组及联合组治疗后B超影像学改变均无明显差异。结论使用拉米夫定、安络化纤丸治疗慢性乙型肝炎均有抗肝纤维化作用,血清HBVDNA、HBeAg阴转率高于降酶组、安络化纤丸组,联合治疗组抗肝纤维化作用进一步加强。Abstract: Objective To study anti-hepatic fibrosic effect of Anluohuaxian pill combined with Lamivudine on the treatment of chronic hepatitis B (CHB) patients.Methods One hundred CHB patients were included in the study.Liver protection, single and combined treatment were given for one year.The clinical data, serum marker of liver fibrosis, ulfrasonic B, HBVDNA、 HBeAg negative conversion rate were compared pre-treatment and post-treatment.Results The level of fibrosis were improved by combined treatment.The improvement of serum HBV DNA and HBeAg negative conversion rate was better in combination therapy and lamivudine treatment than liver protection group and Anluohuaxian pill group.There was no significant amelioration in ultrasonic B in the four groups.Conclusion Lamivudine combined with Anluohuaxian pill have a role on the anti-fibrosis.The improvement of serum HBV DNA and HBeAg negative conversion rate was better than liver protection group and Anluohuaxian pill group.The anti-fibrosic effect was strengthened by combined treatment.
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Key words:
- chronic hepatitis B /
- liver fibrosis /
- lamivudine /
- anluohuaxian pill
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