摘要
目的:观察恩替卡韦联合肝动脉化疗栓塞(transcatheter arterial chemoembolization,TACE)治疗HBV-DNA阳性原发性肝癌患者的疗效。方法:64例HBV-DNA阳性原发性肝癌患者,随机分为两组,每组各32例。均给予TACE治疗。治疗组:在常规保肝治疗基础上加用恩替卡韦,0.5mg/日;对照组:常规保肝治疗。结果:两组转氨酶、胆红素在TACE后均明显升高(P<0.001),血清前白蛋白均降低(P<0.001);但对照组各指标变化较治疗组明显(P<0.05);治疗组HBV-DNA转阴率高于对照组(P<0.0001)。结论:恩替卡韦能有效抑制乙肝病毒复制,减轻TACE后肝损害,改善患者的预后。
Objective:To study the therapeutic efficacy of Entecavir with TACE for patients with primary liver cancer with HBV-DNA positive.Methods:64 patients were derided into the treamtment group and the control group,they were treated by TACE.The treamtment group were treamted by Entecavir.The control group were treamted by general remedy.Results:Transaminase and bilirubin were rised and Prealbumin(PA)were reduced in two groups after TACE,but there were significantly difference after treatment in the treamtment group compared with the control(P〈0.01).Conclusion:Entecavir could relieve hepatic injury and improve prognosis of patients with primary liver cancer after TACE.
出处
《中国医药导刊》
2011年第3期463-464,共2页
Chinese Journal of Medicinal Guide
关键词
恩替卡韦
原发性肝癌
肝损害
经导管动脉化疗栓塞
预后
Entecavir
Primary liver cancer
Hepatic injury
Transcatheter arterial chemoembolization
Prognosis