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1、中药护肝I号联合恩替卡韦治疗慢性乙型肝炎200例疗效分析蒋跃倪辉程书权(广西桂林市第三人民医院肝病科541002)【摘要】目的：用中药护肝I号联合恩替卡韦，治疗慢性病壽乙肝的疗效探讨；方法：选择初治慢性乙肝患者400例，随机分成治疗组和对照组各200例,治疗组采用中药护肝I号，恩替卡韦分散片；对照组单纯釆用恩替卡韦分散片;观察两组病人治疗后的生化、病毒、以及T细胞指数的变化；结果：治疗组显效率明显高于对照组.两组治疗后肝功能、HBV・DNA水平均明显下降,HBeAg/HBeAb转换率高，CD4+水平明显升高(P
2、<0.05),CD8+明显下降(P<0.05);两组患者服药24个月停药,3个月后检查，肝功能、HBV・DNA,治疗组反弹率为5.50%,对照组反弹率为44.00%,两组存在显著差别(P&t;0.01);结论：中药护肝I号治疗慢性乙型肝炎可以提高恩替卡韦抗乙肝病莓的疗效，降低反弹率。【关键词】乙型肝炎中医治疗免疫调节T细胞免疫功能【中图分类号】R969.4【文献标识码】A【文章编号】1672-5085(2014)09-0009-02ResearchandClinicalObservationforI
3、mmunityMechanismofTraditionalChineseMedicineImmunityReformingmethodintreatmentofchronichepatitisB・JiangYue,NiHui.DivisionofLiverDiseasesofTheThirdPeople’sHospitalofGuilin,Guangxi,541002[ABSTRACT】Purpose.ByusingtraditionalChinesemedicinedialecticalmetho
4、d,reformingImmunitytoenhancetherapeuticefficacythatnucleosideanalogsinhibitHBV,aswellasexploreit’simmunitymechanism.Method.：Selecting400casespatientswithchronichepatitisb(CHB)anddividethemintotwogroups,treatmentgroupandcontrolgroup・Treatmentgroup,using
5、traditionalChinesemedicinemodifieddecoctionforinvigoratingthespleenandkidney,androutineEntecavirDispersibleTablets.Controlgroup,onlyusingEntecavirDispersibleTablets.Observingtheirclinicalefficacyandcellcularimmunitychangesaftertreating.Result.Significantlyef
6、fectiverateofTraditionalChineseMedicineImmunityReformingMethodisobviouslyhigherthancontrolgroup(P<0.01).Aftertreatmentoftwogroups,theirstandardsofliverfunction,HBV-DNAarebothdecreasedsignificantly(P<O.Ol,P<0・05)•Thetreatmentgroup’sturnoverrate
7、ishighaftertreating,standardofCD4+isobviouslyincreased(P<0.05),andCD8+isobviouslydecreased(P<0.05).Thecontrolgroup’sstandardsofCD4+andCD8+isbothwithoutsignificantchanges(P>0.05)•Drugwithdrawalwhentwogroup’spatientstakingmedicinefor24mont
8、hs,andtesttheirliverfunctionandHBV-DNA,thebouncerateoftreatmentgroupis5.50%,and44.00%ofcontrolgroup・Therearesign讦icantdifferencesbetweenthem(P<0.01).Conclusion.TraditionalChineseMedicineRefor
