慢性乙型肝炎临床治愈预测因素的研究进展

Q3 Medicine
R Y Zhang, W Yue, L Zhu, J B Luo, B Bu, Y L Wang, Y M Wang, J W Geng
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引用次数: 0

摘要

虽然核苷酸类似物(NAs)和干扰素目前是慢性乙型肝炎的主要治疗方法,但它们并不能完全去除肝细胞中的cccDNA。抗病毒治疗的预期结果是缺乏乙型肝炎表面抗原(HBsAg),通常被称为临床治愈。虽然干扰素治疗的HBsAg清除率和血清学转换率明显高于NAs,但联合或顺序治疗可在一定程度上提高HBsAg清除率和血清学转换率。然而,只有一小部分患者能够获得临床治愈。因此,探索在抗病毒药物治疗前和治疗过程中可能预测临床治愈的适应症至关重要,这可以使早期和及时识别更有可能实现HBsAg清除的患者,提高临床治愈率,降低治疗费用。本文就近年来慢性乙型肝炎临床治愈预测指标的研究进展进行综述,并探讨其在预测临床治愈中的价值,为优化慢性乙型肝炎治疗策略提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Research progress on predictors of clinical cure of chronic hepatitis B].

Although nucleotide analogs (NAs) and interferons are currently the primary treatments for chronic hepatitis B, they do not entirely remove cccDNA from hepatocytes. Antiviral therapy's desired outcome is the absence of hepatitis B surface antigen(HBsAg), often known as a clinical cure. Although interferon therapy has significantly higher HBsAg clearance and serologic conversion rates than NAs, combination or sequential therapy can improve HBsAg clearance and serologic conversion rates to some extent. Still, only a small proportion of patients will achieve clinical cure. As a result, it is critical to explore indications that might predict clinical cure before and during antiviral medication, allowing for early and prompt identification of patients more likely to achieve HBsAg clearance, improving clinical cure rates, and reducing treatment expenses. In this paper, we review the progress of recent studies on predictors of clinical cure in chronic hepatitis B, and discuss their value in predicting clinical cure to provide a reference for optimizing CHB treatment strategy.

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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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