实用肝脏病杂志 ›› 2011, Vol. 14 ›› Issue (6): 420-421.doi: 10.3969/j.issn.1672-5069.2011.06.008

• 论著 • 上一篇    下一篇

基因1型慢性丙型肝炎初治患者获得持续病毒学应答的相关因素研究

肖非,马科,黄加权   

  1. 430030 武汉市 华中科技大学同济医学院附属同济医院感染病科
  • 收稿日期:2011-07-10 出版日期:2011-12-15 发布日期:2016-04-14
  • 作者简介:肖非 男,33岁,博士研究生。主要从事病毒性肝炎发病机制及治疗研究。E-mail:xiaofei.tongji@gmail.com

Factors of sustained virologic response in de novo patiants with chronic hepatitis C genotype 1

XIAO Fei,MA Ke,HUANG Jiaquan   

  1. Department of Infectious Diseases,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
  • Received:2011-07-10 Online:2011-12-15 Published:2016-04-14

摘要: 目的 研究接受长效干扰素和利巴韦林治疗的基因1型慢性丙型肝炎患者获得持续病毒学应答的预测因素。方法 73例基因1型慢性丙型肝炎患者接受干扰素α-2a联合利巴韦林治疗24周或48周,随访6个月。结果 47.9%患者获得早期病毒学应答,38.4%患者获得持续病毒学应答;分析表明治疗前低病毒载量(小于8×105IU/ml)、体重指数低于25kg/m2和出现早期病毒学应答者更容易获得持续病毒学应答。结论 病毒载量、体重指数和是否出现早期病毒学应答与基因1型慢性丙型肝炎初治患者获得持续病毒学应答相关。

关键词: 慢性丙型肝炎, 持续病毒学应答, 基因型

Abstract: Objective To study the related factors of a sustained virologic response in patients with chronic hepatitis C genotype 1.Methods A total of 73 de novo chronic hepatitis C genotype 1 patients received combination therapy of peginterferon alpha and ribavirin for 24 to 48 weeks and were followed-up for 24 weeks.Results 47.9% of patient achieved an early viral response and 38.4% of patients got an sustained viral response;Statistical analysis indicated that patients with lower baseline HCV load(<8×105 IU/ml),lower body mass index and early viral response would achieve sustained viral response(SVR).Conclusion Baseline HCV load, BMI and early viral response are related to achieving SVR in de novo hepatitis C genotype 1 patients.

Key words: Hepatitis C, Sustained viral response, Genotype