恩替卡韦与替比夫定治疗慢性乙型肝炎的临床观察

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Abstract Objective To investigate the clinical effect of Entecavir and Tibifidine in the treatment of chronic hepatitis B. Methods Clinical data of 98 patients with chronic hepatitis B admitted to the Affiliated Central Hospital of Shenyang Medical College from March 2014 to March 2017 were analyzed. According to different treatment methods, the patients were divided into two groups, Tibifidine group (49 cases) and Entecavir group (49 cases). Before and after the treatment, the total bilirubin (TBiL), serum protein (ALB), high mobility group protein-1 (HMGB-1), γ interferon (IFN-γ), interleukin-4 (IL-4), interleukin-10 (IL-10) and hepatitis B virus (HBV) DNA loads of two groups were observed, the E antigen (HBeAg) turn rate, HbeAg serological conversion rate, clinical response rates of two groups were observed. Results Before treatment, TBiL, ALB, HMGB-1, IFN-γ, IL-4, IL-10, and HBV DNA load were compared between the two groups, and the differences were not statistically significant (P ＞ 0.05), after treatment, the TBiL, HMGB-1, IL-4, IL-10 and HBV DNA load of patients in the two groups were all lower than those before treatment, the ALB and IFN-γ were higher than those before treatment, the TBiL, HMGB-1, IL-4, IL-10 and HBV DNA load of patients in the Tibifidin group were lower than those in the Entecavir group, and the ALB and IFN-γ were higher than those in the Entecavir group, the differences were statistically significant (P ＜ 0.05). Comparison of HBeAg conversion rate and HBeAg serological conversion rate between the two groups showed no statistically significant difference (P ＞ 0.05), while the clinical response rate of patients in the Tibifidine group was higher than that in the Entecavir group, with statistically significant difference (P ＜ 0.05). Conclusion The clinical response rate of Tibifidine in the treatment of chronic hepatitis B patients was higher than that of Entecavir, which may be related to the regulation of HMGB-1, IFN-γ, IL-4, IL-10 and HBV DNA load.

Key words： Enteavir Telbivudine Chronic hepatitis B HMGB-1 Inflammatory factors

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	LIN Yan1 SUN Yi′ning2

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LIN Yan1 SUN Yi′ning2. Clinical observation of Entecavir and Tibifidine in the treatment of chronic hepatitis B[J]. 中国医药导报, 2019, 16(15): 104-107.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I15/104

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