实用肝脏病杂志 ›› 2023, Vol. 26 ›› Issue (2): 297-300.doi: 10.3969/j.issn.1672-5069.2023.02.037

• 综述 • 上一篇    下一篇

生物制剂治疗所致乙型肝炎病毒再激活研究进展

李杨洲 综述, 陆爽 审校   

  1. 550001 贵阳市 贵州医科大学(李杨洲);附属医院感染病科(陆 爽)
  • 收稿日期:2021-09-27 出版日期:2023-03-10 发布日期:2023-03-21
  • 通讯作者: 陆爽,E-mail:Lushuang73@163.com
  • 作者简介:李杨洲,女,27岁,硕士研究生。研究方向:肝纤维化的防治研究。E-mail:869735077@qq.com

Hepatitis B virus reactivation during biologics therapy

Li Yangzhou, Lu Shuang   

  1. Department of Infectious Diseases, Affiliated Hospital, Guizhou Medical University, Guiyang 550001, Guizhou Province, China
  • Received:2021-09-27 Online:2023-03-10 Published:2023-03-21

摘要: 目的 随着生物制剂在临床逐步广泛的应用,由此导致的乙型肝炎病毒(HBV )再激活越来越受关注。HBV再激活的患者可发生肝衰竭,甚至导致死亡。对有HBV再激活发生风险的人群进行筛查、预防性抗病毒治疗和监测, 已经成为各大指南的共识。本文就在应用生物制剂治疗过程中HBV再激活的发生风险分层、发生机制和预防性抗病毒治疗药物应用等作一综述。

关键词: 乙型肝炎病毒, 生物制剂, 再激活

Abstract: Objective With the wide application of biologics, the hepatitis B virus (HBV) reactivation have been increasingly become a problem. The patients with HBV reactivation may suffer from liver failure, which might lead to death. The screening, prophylactic antiviral therapy and surveillance for the patients at a risk of HBV reactivation have become the consensus of major related guidelines. In this article, we reviewed the population risk stratification, mechanism by which the HBV reactivated, and the prophylactic antiviral agents.

Key words: Hepatitis B virus, Biologics, Reactivation