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从1995年6月至1996年2月,我们用解放军302医院华星制药厂生产的膦甲酸注射液治疗了21例慢性乙型及/或丙型肝炎患者,以评价该药对乙、丙型肝炎的临床抗病毒疗效及不良反应。其中14例单纯乙型,3例乙、丙型重叠感染,4例单纯丙型。治疗方法为2500mg静滴(2h输完)q12h,疗程28d。结果:治疗前HBsAg(+)17例,HBeAg(+)12例,HBVDNA(+)13例,治疗结束时HBsAg、HBeAg及HBVDNA分别有1例(5.9%)、7例(58.3%)及10例(76.9%)转阴。治疗前抗-HCV(+)5例,HCVRNA(+)7例,治疗结束时抗-HCV及HCVRNA分别有1例(20.0%)及4例(57.1%)转阴,另有2例用药后血清HCVRNA浓度下降约90%。不良反应大多较轻,发生率为42.9%,主要为纳差、恶心、腹胀、乏力等消化道及全身症状。3例血钾轻至中度降低,仅1例因恶心、呕吐较重于用药第17天停药。本研究结果提示,按本文给药方法静点膦甲酸可以达到较好的抑制乙肝病毒复制的效果,对丙肝病毒复制很可能也有抑制作用。
From June 1995 to February 1996, we treated 21 patients with chronic hepatitis B and / or C with foscarnet injection produced by Huaxing Pharmaceutical Factory, 302 Hospital of People’s Liberation Army to evaluate the efficacy of this drug in hepatitis B and C The clinical anti-virus efficacy and adverse reactions. Of which 14 cases of simple B, 3 cases of B, C overlapping infection, 4 cases of simple C-type. Treatment for intravenous infusion of 2500mg (2h lost) q12h, treatment 28d. Results: There were 17 cases of HBsAg (+) before treatment, 12 cases of HBeAg (+) and 13 cases of HBVDNA (+). At the end of treatment, HBsAg, HBeAg and HBVDNA were found in 1 case %) And 10 cases (76.9%) turned negative. There were 5 cases of anti-HCV (+) and 7 cases of HCVRNA (+) before treatment. One case (20.0%) and 4 cases (57.1%) of anti-HCV and HCV RNA were negative at the end of treatment, Two cases of serum HCVRNA concentration decreased by about 90%. Adverse reactions are mostly mild, the incidence was 42.9%, mainly anorexia, nausea, bloating, fatigue and other gastrointestinal and systemic symptoms. 3 cases of serum potassium decreased slightly to mild, only 1 case of nausea, vomiting heavier on the first 17 days of drug withdrawal. The results suggest that, according to the method of administration of static point foscarnet can achieve better inhibition of hepatitis B virus replication, hepatitis C virus replication is likely to also have inhibitory effect.