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干扰素α-2b对乙型肝炎患儿HBV-DNA阴转率及TBIL、ALT的影响

杨琳东   

  1. 延安市人民医院儿科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-06-25

  • Received:1900-01-01 Revised:1900-01-01 Online:2016-06-25

摘要: 【摘 要】目的 探讨干扰素α-2b对乙型肝炎患儿HBV-DNA阴转率及TBIL、ALT的影响。方法 随机选取2012年5月至2015年5月我院收治的乙型肝炎患儿80例,依据治疗方法将这些患儿分为两组,即研究组(n=40)和对照组(n=40)。给予对照组患儿小剂量干扰素α-2b治疗,给予研究组患儿大剂量干扰素α-2b治疗,然后对两组患儿的TBIL、ALT复常及HBV-DNA阴转情况、临床疗效及不良反应发生情况进行统计分析。结果 研究组患儿治疗后即可和治疗后半年的TBIL、ALT复常率及HBV-DNA阴转率均显著高于对照组(P<0.05),治疗的总有效率90.0%(36/40)显著高于对照组65.0%(26/40)(P<0.05),ALT显著升高、白细胞减少、血小板减少发生率均显著高于对照组(P<0.05),但两组患儿的流感样症状、焦虑抑郁发生率之间的差异均不显著(P>0.05)。结论 大剂量较小剂量干扰素更能有效提升α-2b乙型肝炎患儿HBV-DNA阴转率及TBIL、ALT复常率,值得推广。

Abstract: 【Abstract】 objective to investigate the correlation between the interferon alpha 2 b hepatitis b with HBV - DNA Yin turn rate and the influence of TBIL, ALT.Methods randomly selected from May 2012 to May 2015 hepatitis b patients of our hospital 80 cases, according to the treatment of these children can be divided into two groups, namely group (n = 40) and the control group (n = 40).To the control group with small dose interferon alpha 2 b treatment, giving the team with high doses of interferon alpha 2 b treatment, then the two groups of children with TBIL, ALT and HBV - DNA often turn Yin situation, carried out a statistical analysis on the clinical curative effect and adverse reactions occur.Results the team can later on and treatment after treatment in children with TBIL, ALT often rate and HBV - DNA Yin turn rate were significantly higher than that of control group (P < 0.05), the treatment, the total effective rate was 90.0% (36/40) was significantly higher than the control group 65.0% (26/40) significantly increased (P < 0.05), ALT, leukopenia, thrombocytopenia rates were significantly higher than that of control group (P < 0.05), but the two groups of children with influenza-like symptoms, anxiety, depression incidence differences were not significant (P > 0.05).Conclusion high-dose small dose interferon alpha 2 b hepatitis b can be effectively increased with HBV - DNA Yin turn rate and TBIL, ALT often rate, worthy of promotion.