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肝胆相照论坛 论坛 学术讨论& HBV English 治愈乙肝或许可能,或许啊
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治愈乙肝或许可能,或许啊 [复制链接]

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发表于 2010-11-12 09:33 |只看该作者 |倒序浏览 |打印
本帖最后由 风雨不动 于 2012-4-14 15:53 编辑

Two randomised controlled studies of PEG IFN in patients with HBeAg-positive and HBeAg-negative chronic hepatitis B have confirmed its efficacy with 36 and 43% of 24-week post-treatment response, respectively    [35,36].  Interestingly, relatively high rates of HBsAg loss, which are associated with complete and sustained remission of the disease, were observed in both studies
[3% (HBeAg-positive) and 4% (HBeAg-negative)] as compared with < 1% in patients treated with lamivudine.
Recently, follow-up data of this trial reported responses at 3 years post treatment    [38]. Biochemical and virologic responses at 3 years post treatment were stable following treatment with either PEG IFN monotherapy or in combination
with lamivudine. In addition, at 3 and 4 years post treatment, an increase in HBsAg loss was observed in 8 and 11% of patients, respectively.

今天看文献时看到的,PEG-干扰素和拉米夫定合用,高达11%的患者HBsAg消失---也就是治愈。




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发表于 2010-11-12 09:45 |只看该作者
本帖最后由 benben00 于 2010-11-12 09:45 编辑

Tenofovir
Two multi-centre, randomised,
double-blind, Phase III clinical trials evaluated the safety and efficacy of 300 mg tenofovir versus 10 mg adefovir at 48 weeks in subjects with HBeAg-positive (n = 266) and HBeAg-negative (n = 375) chronic HBV    [57,58]. In HBeAg-positive, chronic HBV patients, tenofovir clearly demonstrated superior efficacy to adefovir through 48 weeks as illustrated by the higher percentage of undetectable HBV DNA levels [74% (tenofovir) versus 12% (adefovir)] and normalisation of ALT levels [69% (tenofovir) versus 54% (adefovir)]. Interestingly, HBsAg loss was observed in 3% of patients after 48 weeks of tenofovir therapy. Similar results were observed in HBeAg-negative chronic HBV patients: tenofovir showed a higher antiviral efficacy than adefovir after 48 weeks of therapy.

Tenofovir 3%的治愈
除了乐观,我们别无选择。

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发表于 2010-11-12 10:58 |只看该作者
不会吧?到目前为止全世界还没一例慢肝治好的病例呢!如果真能治好的话那乙肝也不是什么世界性难题了!

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发表于 2010-11-12 11:11 |只看该作者
ru guo shi zhen de  jiu hao le

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发表于 2010-11-12 11:50 |只看该作者
在哪看的?

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发表于 2010-11-13 19:31 |只看该作者
支持!
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