JOURNAL OF PRACTICAL HEPATOLOGY ›› 2015, Vol. 18 ›› Issue (6): 616-619.doi: 10.3969/.j.issn.1672-5069.2015.06.013

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Efficacy of entecavir combined with fuzhenghuayu capsules in treatment of patients with hepatitis B related cirrhosis

Li Guohuan, Shu Pan, Zhang Junchang, et al.   

  1. Department of Liver Diseases,Chinese Medicine Hospital,Zhuhai 519015,Guangdong Province,China
  • Received:2015-03-10 Online:2015-11-20 Published:2016-02-04

Abstract: Objective To explore the therapeutic efficacy of entecavir combined with Fuzhenghuayu capsules in the treatment of patients with hepatitis B cirrhosis. Methods 60 patients with active hepatitis B related cirrhosis were randomly divided into observation group(n=30) and control group(n=30). At the base of conventional therapy,patients in control group was given only entecavir,while in observation group was given entecavir combined with Fuzhenghuayu capsules,and both for 24 weeks. Serum indicators of hepatic fibrosis and liver function were recorded and analyzed. Results Serum hyaluronic acid (HA),laminin (LN),procollagen type III (PCⅢ,collagen-Ⅳ(Ⅳ-C),alanine aminotransferase (ALT),albumin (ALB),total bilirubin(TBIL),portal vein’s diameter,spleen length and spleen thickness in observation group and control group before the treatment had no significant differences [HA(334.7±119.8) ng/ml vs. (320.4±196) ng/ml;LN (183.2±79.6) ng/ml vs. (180.9±80) ng/ml;PC Ⅲ(252.5±139.8) ng/ml vs. (261.2±132) ng/ml;IV-C (203.3±74.1) ng/ml vs. (204.1±78.1) ng/ml;ALT (171.53±11.21) U/L vs. (169.87±13.32) U/L;ALB (33.46±7.53) g/L vs. (34.05±6.94) g/L;TBIL(49.33±10.1) μmol/L vs.(48.89±11.03) μmol/L;portal vein’s diameter (13.1±0.7) mm vs. (12.9±1.1) mm;spleen’s length (122.1±3.9) mm vs. (123.4±2.5) mm;spleen’s thickness (48.9±4.2) mm vs. (48.6±4.7) mm;P>0.05 for all];After the treatment,the above-mentioned indicators in the two groups were statistically different [HA (158.2±79.1) ng/ml vs. (205.2±49.6) ng/ml;LN (104.3±59.7) ng/ml vs. (149.8±64.3) ng/ml;PC Ⅲ (140.2±76.4) ng/ml vs. (192.7±99.8) ng/ml;IV-C (111.4±56.8) ng/ml vs.(159.2±42.5) ng/ml;ALT(24.37±7.33) U/L vs. (54.89±6.65) U/L;ALB (41.02±6.3) g/L vs. (35.59±7.2) g/L;TBIL (10.32±8.03) μmol/L vs. (20.89±9.65) μmol/L;portal vein’s diameter (10.2±0.5) mm vs. (11.7±0.85) mm;spleen length (109.4±3.1) mm vs. (117.3±2.9) mm;spleen thickness(44.4±2.0) mm vs. (46.8±3.6) mm;P<0.05 for all];The rate of serum HBV DNA loss in observation group after 24-week treatment was 83.3%,significantly higher than 40.0% in control group(P<0.05). Conclusions The combination of entecavir and Fuzhenghuayu capsules exerts better therapeutic efficacy in the treatment of patients with liver cirrhosis.

Key words: Cirrhosis, Chronic hepatitis B, Entecavir, Fuzhenghuayu capsules, Efficacy