文章摘要
阿德福韦酯联合九味肝泰治疗对儿童慢性乙型肝炎患者T细胞亚群及肝纤维化指标的影响
Effects of adefovir dipivoxil tablets combined with Jiuwei Gantai capsules on T lymphocyte subsets and liver fibrosis indicators in children with chronic hepatitis B
投稿时间:2017-04-29  
DOI:10.3969/j.issn.1000-0399.2018.05.010
中文关键词: 阿德福韦酯  九味肝泰  儿童  慢性乙型肝炎  T细胞亚群  肝纤维化指标
英文关键词: Adefovir dipivoxil  Jiuwei Gantai  Children  Chronic hepatitis B  T lymphocyte subsets  Liver fibrosis indicators
基金项目:张家口市科技攻关计划项目(项目编号:1621032D)
作者单位E-mail
张俊婷 075100 河北张家口 河北钢铁集团宣钢职工医院检验科  
安和兵 075100 河北张家口 河北钢铁集团宣钢职工医院检验科 706852@qq.com 
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中文摘要:
      目的 探讨阿德福韦酯联合九味肝泰治疗对儿童慢性乙型肝炎(CHB)患者T细胞亚群及肝纤维化指标的影响。方法 选取2015年8月至2016年7月收治的儿童CHB患者74例为研究对象,依据随机数字表法分为观察组和对照组,每组各37例。对照组患者在保肝、降酶基础上,口服阿德福韦酯,观察组患者在对照组的基础上,口服九味肝泰胶囊,两组患者均治疗6个月,治疗期间,定期检查肝、肾功能。采集治疗前后清晨空腹外周静脉血,比较两组患者治疗前后肝功能相关指标;T细胞亚群水平;肝纤维化各项指标的变化。结果 治疗后,观察组患者TBIL、TBA、AST、GGT、ALT水平低于对照组;CD3+、CD4+、CD4+/CD8+高于对照组,CD8+低于对照组;HA、ⅣC、LN、PⅢNP、TGF-β1低于对照组,上述指标差异均有统计学意义(P<0.01)。结论 阿德福韦酯联合九味肝泰可有效调节儿童CHB患者免疫功能,改善肝功能,并具有良好的抗纤维化作用。
英文摘要:
      Objective To explore the effects of adefovir dipivoxil tablets combined with Jiuwei Gantai capsules on T lymphocyte subsets and liver fibrosis indicators in those children with chronic hepatitis B (CHB). Methods A total of 74 children with CHB ever treated in our hospital between Aug 2015 and Jul 2016 were collected as the study objectives, and then were divided into the study group and the control group by means of random number table, 37 cases in each group. Besides oral administration of adefovir dipivoxil tablets to patients in the control group on basis of regimens of liver protection and enzyme activities reduction, those patients in the study group were orally given additional Jiuwei Gantai capsules. Both groups were treated for 6 months, and their liver and renal function indicators were regularly examined during the process. The fasting peripheral venous blood was collected at early morning before and after treatment, and the blood levels of TBIL, TBA, AST, GGT and ALT were detected via automatic biochemical analyzer. The CD3+, CD4+ and CD8+ levels were tested via flow cytometer, with the CD4+/CD8+ ratio being calculated. Furthermore, radioimmunoassay was used to detect the serum levels of HA, IVC, LN and PⅢNP, and ELISA was used to measure the TGF-β1 levels. Results After treatment, the TBIL, TBA, AST, GGT and ALT levels in the study group were significantly lower than those in the control group, and results of CD3+, CD4+ and CD4+/CD8+ in the study group were significantly higher, whereas CD8+ being significantly lower than those in the control group (all P<0.01). The HA, IVC, LN, PⅢNP and TGF-β1 levels after treatment in the study group were lower than those in the control group, also with statistically significant differences (P<0.01). Conclusion Administration of adefovir dipivoxil tablets combined with Jiuwei Gantai capsules could effectively regulate immune function and improve liver function in those CHB children, with further favorable anti-fibrosis effects.
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