A retrospective analysis of the clinical treatment of 120 patients with chronic hepatitis C
10.3760/cma.j.issn.1008-6706.2013.19.034
- VernacularTitle:慢性丙型病毒性肝炎120例临床分析
- Author:
Feiyu LI
;
Huan WANG
- Publication Type:Journal Article
- Keywords:
Hepatitis C,chronic;
Pegylated interferon;
Ribavirin
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(19):2955-2957
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the virology response after the treatment of chronic hepatitis C by polyethylene glycol interferon in combination with ribavirin and the etiological characteristics of chronic hepatitis C.Methods A retrospective analysis of chronic hepatitis C infection route,hepatitis C virus(of hepatitis C virus,HCV)load and its gene typing of 120 patients in our hospital from August 2009 to July 2012.And the patients were given pegylated interferon (PEG-IFN-2a),or ordinary interferon (IFNα) alone or in combination with ribavifin.HCV-RNA load and liver function were monitored before and after 4,12,24,36,48 weeks.Results Blood transfusion was the main way of HCV infection(71/120).109 cases (90.8%) patients with serum HCV-RNA load between 5.0 ~ 7.0 logl0 copies/ml.76 patients were made HCV viral genetics testing,test results,65 cases of HCV-RNA 1b type,2 cases of HCV-RNA 1c type,HCV-RNA 2a type and HCV-RNA 6a type and HCV-RNA type 3b was 3 cases,especially.The application of PEG-IFN-2a of the two groups was significantly better than the application of IFNα of the two groups(P < 0.05).Conclusion Chronic hepatitis C is mainly to infected by blood transfusion.HCV-RNA load between 5.0 ~ 7.0 log10 copies/ml.88.2% of the cases of genotype 1(most of which is type 1b).PEG-IFN-2a combined with ribavirin combined with individualized treatment can effectively improve SVR rates.