重视对慢性乙型肝炎临床治愈为终点的聚乙二醇干扰素α治疗策略的研究Emphasizing the research of polyethylene glycol interferon-α treatment strategy for clinical cure of chronic hepatitis B
万谟彬;王福生;高志良;陈新月;张鸿飞;鲁凤民;韦嘉;郭瑛;
摘要(Abstract):
干扰素α用于慢性乙型肝炎抗病毒治疗在临床实践中积累了丰富的经验,最初的治疗目标是维持患者病毒学持续应答,以改善长期预后。更深入的临床实践和研究提示,聚乙二醇干扰素α治疗慢性乙型肝炎在部分患者中可能实现临床治愈,从而引起极大关注。临床治愈可以作为某些优势人群的治疗目标已逐渐形成共识,但如何通过调整聚乙二醇干扰素α的治疗方法来进一步提高临床治愈率仍缺乏大样本、设计良好、有对照的临床试验数据的支持。关于以临床治愈为目标的初治患者的适合疗程、一次性治疗还是分阶段治疗、持续性治疗还是间歇性治疗,以及停药指征和复发相关因素等诸多治疗策略问题尚需要更深入地研究。近年来,由研究者发起的以临床治愈为首要治疗目标的研究逐渐增多,奠定了良好的基础。本文旨在强调要加强和重视以临床治愈为治疗终点的聚乙二醇干扰素α治疗策略的研究,以进一步提高临床治愈率。
关键词(KeyWords): 慢性乙型肝炎;临床治愈;聚乙二醇干扰素α;治疗策略;间歇性治疗
基金项目(Foundation): 国家自然科学基金(82170612);; “十三五”国家科技重大专项(2018ZX10302204)
作者(Authors): 万谟彬;王福生;高志良;陈新月;张鸿飞;鲁凤民;韦嘉;郭瑛;
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