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目的探讨乙肝新疗法与BCG、潘生丁联合抗HBV的作用。方法选择HBeAg阳性乙肝病人512例,1∶2000OT试验局部红肿、硬结<7mm者,于三角肌外侧皮内注射卡介苗(BCG)0.1ml,每月1次。同时口服潘生丁50mg,2次/d,连用4~8个月,治疗前后进行肝功、乙肝5项标志物检测。结果症状体征改善多优于90例的对照组。HBsAg阴转率和HBsAb阳转率:治疗组分别为5.47%与8.20%;对照组为5.56%与9.86%,差异无显著性。HBeAg阴转率与HBeAb阳转率:治疗组分别为60.35%与31.62%;对照组分别为13.33%与12.99%,差异非常显著(P>0.01)。结论研究结果提示两药联用有协同抗HBV作用,从而达到可靠地控制HBV和改善肝功能效果,而无严重不良反应发生。
Objective To explore the new anti-hepatitis B therapy and BCG, dipyridamol combined anti-HBV role. Methods 512 patients with HBeAg-positive hepatitis B were selected. Local redness and induration of 1: 2000OT test were less than 7mm, and 0.1ml BCG (0.1ml BCG) was injected intradermally into the deltoid muscle once a month. At the same time oral dipyridamole 50mg, 2 times / d, once every 4 to 8 months, before and after treatment of liver function, hepatitis B five markers. Results Symptoms and signs improved more than 90 cases of control group. HBsAg negative rate and HBsAb positive rate: the treatment group were 5.47% and 8.20%; control group was 5.56% and 9.86%, the difference was not significant. The HBeAg negative rate and HBeAb positive rate were 60.35% and 31.62% respectively in the treatment group and 13.33% and 12.99% in the control group, respectively. The difference was significant (P> 0.01). Conclusions The results suggest that synergistic anti-HBV effect in combination with the two drugs can lead to the reliable control of HBV and the improvement of liver function without serious adverse reactions.