[乙型肝炎病毒感染者在免疫耐受期的治疗策略:在最后一公里完成治疗]。

Q3 Medicine
Y Ding, Q J Sheng, X G Dou
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引用次数: 0

摘要

乙型肝炎大多是一种慢性进展性疾病,如果得不到及时有效的治疗,会慢慢发展为肝硬化、肝衰竭或肝细胞癌。因此,只要病毒呈阳性,就应开始抗病毒治疗,即 "完全治疗 "策略。根据《中国慢性乙型肝炎防治指南(2022 年版)》中的抗病毒适应症,对于仅处于免疫耐受期的感染者,不建议立即进行抗病毒治疗,主要原因是病情较轻,抗病毒疗效较差。在此,我们以乙肝病毒感染免疫耐受期为例,重点讨论了乙肝病毒感染免疫耐受期为何是 "完全治疗 "的最后一公里的相关问题,并对该病的特点和抗病毒治疗策略进行了探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Strategies for hepatitis B virus-infected patients in the immune-tolerant phase: complete therapy at the last mile].

Hepatitis B is mostly a chronic, progressive disease that, if not treated promptly and effectively, can slowly progress to cirrhosis, liver failure, or hepatocellular carcinoma. Therefore, antiviral therapy, i.e., a "complete therapy" strategy, should be started as long as the virus is positive. Immediate antiviral treatment is not recommended for infected patients who are only in the immune-tolerant phase, mainly because of the milder conditions and poor antiviral therapy efficacy, according to antiviral indications in China's Guidelines for the Prevention and Treatment of Chronic Hepatitis B (2022 Version). The relevant issues of why hepatitis B virus infection in the immune-tolerant phase is the last mile of "complete therapy," with an emphasis on the disease's characteristics and antiviral treatment strategies, are discussed here.

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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
7574
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