JOURNAL OF PRACTICAL HEPATOLOGY ›› 2018, Vol. 21 ›› Issue (6): 903-906.doi: 10.3969/j.issn.1672-5069.2018.06.019

• Liver cirrhosis • Previous Articles     Next Articles

Efficacy of entecavir and Chinese herbal medicine combination therapy in patients with hepatitis B-induced liver cirrhosis An

Hongjie, Zhou Dongfang.   

  1. Department of Infectious Diseases,Central Hospital,Affiliated to China National Petroleum Corporation,Langfang 065000,Hebei Province,China
  • Received:2018-01-19 Online:2018-11-10 Published:2018-12-25

Abstract: Objective To investigate the efficacy of entecavir(ETV) and Fufang Biejiaruanganpian,a Chinese herbal medicine compound,combination therapy in patients with hepatitis B-induced liver cirrhosis. Methods 76 patients with hepatitis B liver cirrhosis were recruited in our hospital between January 2014 and December 2016. The patients with liver cirrhosis were randomly divided into control group (n=36) and observation group(n=40),receiving ETV or ETV and Fufang Biejiaruangan combination therapy,and all patients were followed-up for 12 months. Serum HBV DNA loads were detected by PCR,and serum HA,PⅢP,LN and CⅣ levels were assayed routinely. All patients received Fibroscan check-up. Results At the end of 12 month observation,serum bilirubin and ALT levels in the observation group were (19.7±13.4) μmol/L and (28.3±9.4) U/L,much lower than [(23.2±13.8) μmol/L and (53.6±10.2)U/L,P<0.05] in the control,and serum albumin level was (37.2±5.6) g/L,prothrombin time activity (PTA) was (91.1±11.2)%,much higher than [(34.7±6.1)g/L and (81.4±10.5)%,P<0.05] in the control;the CTP score was (6.3±1.2),much lower than [(8.1±1.4),P<0.05] in the control,and liver stiffness measurement (LSM) was(16.5±12.2) kPa,also much lower than [(22.7±14.4)kPa,P<0.05] in the control;serum HA level was (89.2±43.1) μg/L,PⅢP level was (119.7±60.8) μg/L,LN level was (98.7±30.2) μg/L,and CⅣ level was (102.6±29.7) μg/L,significantly lower than [(184.3±58.2) μg/L,(254.5±74.7) μg/L,(140.8±39.7) μg/L,and (165.7±41.2) μg/L,respectively,P<0.05] in the control;serum HBV DNA loss was 97.5%(39/40),and it was 94.4% (34/36) in the control,without significant difference between the two groups(P>0.05),and serum HBV DNA load was(3.2±0.3) log10 copies/ml,no significant difference as compared to(3.5±0.4) log10 copies/ml in the control(P>0.05);the incidences of ascites,hepatic encephalopathy,gastrointestinal bleeding and hepatocellular carcinoma in the observation group were 17.5%,5.0%,10.0% and 2.5%,much lower than 52.7%,13.8%,16.7% and 11.1% (P<0.05) in the control;no one in the observation group but three patients(8.3%) in the control died within the 12 month observation. Conclusion The combination of ETV and Fufang Biejiaruangan compound therapy in patients with hepatitis B-induced liver cirrhosis might improve liver functions,alleviate liver cirrhosis,and improve the prognosis,which needs further and long-term investigation.

Key words: Liver cirrhosis, Hepatitis B, Fufang Biejiaruangan compound, herbal medicine, Efficacy, Prognosis