Multiple factor analysis of the efficacy of standard antiviral therapy in patients with chronic hepatitis C
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摘要: 目的 探讨慢性丙型肝炎(CHC)标准化抗病毒治疗应答的影响因素,为临床提供参考价值。 方法 选择97例CHC患者,分别检测丙型肝炎病毒(HCV)基因型、HCV RNA和白细胞介素-28B(IL-28B)位点rs8099917基因型。患者均接受标准化抗病毒治疗。分析获得快速病毒学应答(RVR)、早期病毒学应答(EVR)、治疗结束时病毒学应答(ETVR)和持续病毒学应答(SVR)的影响因素。 结果 HCV基因1型组和非1型组、rs8099917基因TT型组和GT+GG型组的RVR、EVR、ETVR和SVR差异具均有统计学意义(χ2=9.359、11.440、6.346、8.147、9.938、7.413、4.564和4.229,P<0.05)。获得RVR的独立影响因素为HCV基因非1型、高ALT和AST水平、低HCV RNA载量以及rs8099917基因TT型;获得EVR的独立影响因素为HCV基因非1型和低HCV RNA载量;获得ETVR的独立影响因素为高ALT水平;获得SVR的独立影响因素为HCV基因非1型、高ALT水平和rs8099917基因TT型。 结论 HCV基因非1型、高ALT水平和rs8099917基因TT型是获得SVR的有利因素。Abstract: Objective To investigate the influencing factors of the efficacy on virologic response of the standard antiviral therapy in patients with chronic hepatitis C(CHC) and to provide a reference value for clinical treatment. Methods The data of 97 patients with CHC were analyzed retrospectively.The conditions of hepatitis C virus(HCV) genotypes,HCV RNA,and rs8099917 genotypes in interieukin-28B(IL-28B) gene were determined,respectively.The patients were all given the standard antiviral therapy.The influencing factors of rapid virological response(RVR),early virological response(EVR),end-of-treatment virological response(ETVR) and sustained virological response(SVR) were compared and analyzed,respectively. Results The RVR,EVR,ETVR and SVR rates were significant differences in HCV genotype 1 group and in HCV non-genotype 1 group,in rs8099917 genotype TT group and in rs8099917 genotype GT+GG group,respectively(χ2=9.359,11.440,6.346,8.147,9.938,7.413,4.564,4.229;P<0.05).The independent impact factors of RVR were HCV non-genotype 1,high levels of ALT and AST,low HCV RNA level,and rs8099917 genotype TT;of EVR were HCV non-genotype 1 and low HCV RNA level;of ETVR was high ALT level;and of SVR were HCV non-genotype 1,high ALT level,and rs8099917 genotype TT. Conclusion HCV non-genotype 1,high ALT level,and rs8099917 genotype TT are important favorable factors for SVR in patients with CHC.
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Key words:
- Hepatitis C virus /
- Pegylated interferon /
- Ribavirin /
- Virologic response /
- Influencing factor /
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