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慢性乙型肝炎患者替比夫定治疗后血清IL-17的变化及意义

, PP. 154-157

Keywords: 替比夫定,乙型肝炎,白细胞介素-17

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Abstract:

目的比较慢性乙型肝炎(CHB)患者替比夫定(LdT)治疗前后血清白细胞介素-17(IL-17)水平的变化,探讨LdT对CHB患者血清中IL-17的影响。方法收集105例CHB患者血清,以35例健康体检人群IL-17为基线评价指标,采用ELISA方法检测血清IL-17的水平,特异性荧光探针PCR法检测血清HBVDNA水平;CHB组加用替比夫定抗病毒治疗24周,观察治疗前后血清中IL-17及HBV-DNA的变化。结果(1)治疗前CHB患者较健康对照组血清中IL-17水平明显升高(P中度>轻度,差异有统计学意义(P0.05);(3)血清中HBV-DNA含量与IL-17水平呈正相关(r=0.722,P<0.05)。结论替比夫定通过抑制HBV复制能够降低CHB患者血清IL-17水平,使肝细胞功能得到一定恢复。

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