目的 观察长效干扰素对慢性乙型肝炎HBeAg阴性患者的临床疗效.方法 将46例HBeAg阴性慢性乙肝患者随机分为两组,其中长效干扰素组:派罗欣180μg,一周一次,皮下注射,疗程48周;普通干扰素组:赛诺金500MU,肌肉注射,隔日一次,疗程48周.治疗结束后随访24周.结果 长效干扰素组和普通干扰素组的ALT水平复常率在治疗结束和随访结束比较,差异有统计学意义(x2 =9.106,P<0.05;x2=9.832,P<0.05).长效干扰素组和普通干扰素组的HBV-DNA阴转率在治疗结束和随访结束比较,差异有统计学意义(x2 =4.312,P<0.05;x2=6.158,P<0.05).但两组在HBV-DNA下降程度上无明显差别(P>0.05).结论 长效干扰素治疗慢性乙型肝炎e抗原阴性患者可以明显提高疗效.
Objective To estimate the therapeutic effect of peginterferon and interferon capsule on patients with HBeAg-negative chronic hepatitis B.Methods 46 HBeAg-negative chronic hepatitis B patients were randomly divided into two groups.The peginterferon group:peginterferon 180μg,once a week,for 48 weeks.The interferon group:interferon 500MU,three times a week,for 48 weeks.All patients were followed for 24 weeks after treatments.Results Up to the end of the study and the end of follow-up at the 24th weeks,between peginterferon group and interferon group,there were statistical significances in ALT normalization rates (x2 =9.106,P < 0.05 ; x2 =9.832,P < 0.05) and HBV-DNA negativity rates (x2 =4.312,P <0.05; x2 =6.158,P <0.05),but there were no statistical significances in serum HBV-DNA reduction(P >0.05) Conclusions Peginterferon capsule has better therapeutic effect on HBeAg-negative chronic hepatitis B.