Strategy for virologic response-guided therapy in integrated diagnosis and treatment of hepatitis C in the era of precision medicine in China
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摘要: 长效干扰素联合利巴韦林仍然是现阶段我国丙型肝炎治疗的主要手段,通过精准医疗可以让更多丙型肝炎患者实现治愈。简述了精准医学时代中国丙型肝炎诊疗情况与病毒学应答指导治疗(RGT)策略的重要性,并分析了影响获得持续病毒学应答的重要因素,其中HCV RNA检测是RGT策略的基石,治疗过程中关键时间点采用高灵敏度的HCV RNA检测可以更精准地评估应答,实现丙型肝炎个体化治疗,提高丙型肝炎治愈率。Abstract: At present,long- acting interferon combined with ribavirin is still a major therapeutic method for hepatitis C in China,and precision medicine can help cure more patients with hepatitis C. This article briefly introduces the diagnosis and treatment of hepatitis in China and the importance of the strategy of virologic response- guided therapy( RGT),and analyzes the influencing factors for the achievement of sustained virologic response. HCV RNA quantitation is the foundation of RGT strategy,and HCV RNA quantitation with a high specificity performed at crucial time points during treatment helps to evaluate response accurately,realize the individualized treatment of hepatitis C,and improve the cure rate of hepatitis C.
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Key words:
- hepatitis C /
- therapy /
- virological response
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