聚乙二醇干扰素联合利巴韦林治疗慢性丙型肝炎病毒感染的临床效果研究

Clinical efficacy of pegylated interferon combined with ribavirin in treatment of patients with chronic hepatitis C virus infection

  • 摘要: 目的 探讨聚乙二醇干扰素与利巴韦林在慢性丙型肝炎病毒感染患者中的联合应用效果和意义,为临床治疗提供依据。方法 选取2013年1月-2015年12月医院所收治的慢性丙型肝炎病毒感染患者98例,根据临床药物治疗方案的不同将入选患者随机分为观察组48例和对照组50例,对照组患者采用重组人干扰素联合利巴韦林的药物治疗方案,观察组患者采用聚乙二醇干扰素联合利巴韦林的药物治疗方案,比较两组患者免疫因子水平及不良反应发生情况。结果 观察组治疗后T细胞亚群CD3+、CD4+、CD4+/CD8+的水平均显著提高,而CD8+水平则均显著降低,差异均有显著性意义(P<0.05);观察组不良反应发生率与对照组相当,差异无统计学意义。结论 聚乙二醇干扰素联合利巴韦林对于慢性丙型肝炎病毒感染患者临床治疗效果的提升和免疫因子水平的调节均具有十分重要的临床治疗价值。

     

    Abstract: OBJECTIVE To investigate the combined effect and significance of pegylated interferon combined with ribavirin in the treatment of patients with chronic hepatitis C virus infection, so as to provide references for clinical treatment. METHODS A total of 98 patients with chronic hepatitis C virus infection in our hospital from Jan. 2013 to Dec. 2015 were selected. According to different clinical drug treatment regimens, the patients were randomly divided into observation group (n=48) and control group (n=50). The patients in control group were treated with recombinant human interferon combined with ribavirin, and the patients in observation group were treated with pegylated interferon combined with ribavirin. The levels of immune factors and adverse events of the patients in the two groups were compared and analyzed. RESULTS The levels of T cell subsets of CD3+, CD4+, and CD4+/CD8+ of observation group were significantly increased after the treatment, and the level of CD8+ was decreased, with significant differences (P<0.05). The incidence of adverse reactions in observation group was similar as control group, the difference was not significant. CONCLUSION Pegylated interferon combined with ribavirin has very important clinical treatment values in improving clinical outcomes and regulating the levels of immune factors for patients with chronic hepatitis C virus infection.

     

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