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非一线核苷(酸)类似物经治慢性乙型肝炎患者治疗策略调整专家共识

中华医学会肝病学分会肝炎学组 中华肝脏病杂志

引用本文:
Citation:

非一线核苷(酸)类似物经治慢性乙型肝炎患者治疗策略调整专家共识

DOI: 10.3969/j.issn.1001-5256.2019.06.008
基金项目: 

艾滋病和病毒性肝炎等重大传染病防治专项(2017ZX10201201、2017ZX10202202); 

详细信息
  • 中图分类号: R512.62

An expert consensus for the adjustment of treatment strategies in patients with chronic hepatitis B treated with non-first-line nucleos (t) ide analogues

Research funding: 

 

  • 摘要:

    口服核苷(酸)类似物(NAs)抗病毒治疗是治疗慢性乙型肝炎(CHB)重要和有效的方法之一。从抗病毒作用强弱及耐药方面考虑,国内外指南将NAs类药物分为一线和非一线用药。《非一线核苷(酸)类似物经治慢性乙型肝炎患者治疗策略调整专家共识》主要针对目前正在使用非一线NAs类药物且有效的患者,如何规范地调整为一线NAs类药物,并强化CHB初始抗病毒治疗必须选择一线NAs类药物,使患者既可以获得更好的抗病毒疗效,提高患者的依从性,同时又可避免药物严重不良反应的发生。

     

  • [1]Chinese Society of Hepatology and Chinese Society of Infectious Diseases, Chinese Medical Association.The guideline of prevention and treatment for chronic hepatitis B:A 2015 update[J].J Clin Hepatol, 2015, 31 (12) :1941-1960. (in Chinese) 中华医学会肝病学分会, 中华医学会感染病学分会.慢性乙型肝炎防治指南 (2015年更新版) [J].临床肝胆病杂志, 2015, 31 (12) :1941-1960.
    [2]European Association for the Study of the Liver.EASL 2017clinical practice guidelines on the management of hepatitis Bvirus infection[J].J Hepatol, 2017, 67 (2) :370-398.
    [3] TERRAULT NA, LOK AS, McMAHON BJ, et al.Update on prevention, diagnosis, and treatment of chronic hepatitis B:AASLD2018 hepatitis B guidance[J].Hepatology, 2018, 67 (4) :1560-1599.
    [4]World Health Organization.Guidelines for the prevention, care and treatment of persons with chronic hepatitis B infection[M].Geneva:World Health Organization, 2015.
    [5]YU R, FAN R, HOU JL.Chronic hepatitis B virus infection:Epidemiology, prevention, and treatment in China[J].Front Med, 2014, 8 (2) :135-144.
    [6]LOK AS, TRINH H, CAROSI G, et al.Efficacy of entecavir with or without tenofovir disoproxil fumarate for nucleos (t) ide-na6ve patients with chronic hepatitis B[J].Gastroenterology, 2012, 143 (3) :619-628.e1.
    [7]AGARWAL K, BRUNETTO M, SETO WK, et al.96 weeks treatment of tenofovir alafenamide vs.tenofovir disoproxil fumarate for hepatitis B virus infection[J].J Hepatol, 2018, 68 (4) :672-681.
    [8]BRUNETTO M, LIM YS, GANE E, et al.A phase 3 study comparing tenofovir alafenamide (TAF) to tenofovir disoproxil fumarate (TDF) in patients with HBe Ag-negative, chronic hepatitis B (CHB) :Efficacy and safety results at week 96[J].JHepatol, 2017, 66 (Suppl 1) :s25-s26.
    [9]GU EL, YU YQ, WANG JL, et al.Response-guided treatment of cirrhotic chronic hepatitis B patients:Multicenter prospective study[J].World J Gastroenterol, 2015, 21 (2) :653-660.
    [10]CHOI J, KIM H J, LEE J, et al.Risk of hepatocellular carcinoma in patients treated with entecavir vs tenofovir for chronic hepatitis B:A Korean nationwide cohort study[J].JAMA Oncol, 2019, 5 (1) :30-36.
    [11]FASANO M, LAMPERTICO P, MARZANO A, et al.HBV DNAsuppression and HBsAg clearance in HBe Ag negative chronic hepatitis B patients on lamivudine therapy for over 5 years[J].J Hepatol, 2012, 56 (6) :1254-1258.
    [12]YU Y, WANG J, LI G, et al.Nucleos (t) ide analogue interruption:Alternative approach to intrahepatic set point for spontaneous control of HBV replication?[J].J Hepatol, 2018, 68 (3) :609-610.
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  • 出版日期:  2019-06-20
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