丙型肝炎晚期肝硬化患者服用直接作用抗病毒药物的安全性概况:系统回顾和元分析

Shahroz M. Khan, Farhana Nazmin, Rubela Ray, Rauann Hachem, Briannah Wade, Manal A. Bhinder, Muhammad B. Chaudhry, Marya Syed, Ayesha Khan, Eman Fatima, Imdad Ullah
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引用次数: 0

摘要

患有肝硬化的慢性丙型肝炎患者可使用直接作用抗生素(DAAs)进行治疗。本研究旨在调查直接作用抗体在治疗肝硬化丙型肝炎中的效果。它还研究了药物相关问题、副作用和死亡率的比例。我们在 Cochrane 图书馆和 PubMed 上全面检索了所需文献。提取了 15 篇文章纳入本系统综述和荟萃分析。共对 16 项研究进行了全面筛选。我们的分析表明,使用 DAA 方案可观察到良好的反应,因不良事件而中断治疗的情况较少。报告的不良事件很少,但所有不良事件大多未得到控制,无法防止治疗中断或死亡。此外,关于脑病、腹水、肝细胞癌(HCC)、不良事件和死亡等特定结果的荟萃分析研究对 DAAs 的安全性进行了量化分析。研究还表明,与其他治疗方法相比,DAAs 的副作用、死亡和并发症较少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Direct-Acting Antivirals' Safety Profile in Patients with Advanced Liver Cirrhosis with Hepatitis C: A Systematic Review and Meta-Analysis
Chronic hepatitis C with cirrhosis is treated with direct-acting antibiotics (DAAs). The aim of this study was to investigate the effect of direct-acting antibodies in the treatment of hepatitis C in cirrhosis. It also examines the proportion of drug-related problems, side effects, and mortality. The Cochrane Library and PubMed were thoroughly searched for the required literature. Fifteen articles were extracted for inclusion in this systematic review and meta-analysis. A total of 16 studies were thoroughly screened. The included studies provided a comprehensive picture of the effects of DAA therapy, spanning multiple study designs and sites Our analysis showed that good responses were observed with DAA regimens and that treatment discontinuation was low due to adverse events a stirring that. Few adverse events were reported, but all were mostly uncontrolled to prevent treatment discontinuation or death. In addition, meta-analytic studies on specific outcomes such as encephalopathy, ascites, hepatocellular carcinoma (HCC), adverse events, and death provided quantitative analysis about the safety of DAAs. Research also shows that DAAs have fewer side effects, deaths, and complications than other treatments.
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