高效抗逆轉(zhuǎn)錄病毒療法治療艾滋病患者的療效與安全性
發(fā)布時間:2018-02-27 10:54
本文關(guān)鍵詞: 高效抗逆轉(zhuǎn)錄病毒療法 艾滋病 CD~+T淋巴細胞計數(shù) 病毒載量 出處:《中國臨床藥理學(xué)雜志》2017年17期 論文類型:期刊論文
【摘要】:目的研究高效抗逆轉(zhuǎn)錄病毒療法(HAART)在艾滋病(HIV)患者中的應(yīng)用。方法入選2013年6月至2015年1月本院收治的艾滋病患者60例為研究對象,對所有患者均給予高效抗逆轉(zhuǎn)錄病毒療法,采取聯(lián)合治療:拉米夫定0.3 g qd,齊多夫定0.3 g bid,依非韋倫600 mg qn。治療后3,6,12個月,比較患者的CD4~+T淋巴細胞計數(shù)和HIV病毒載量變化,分析患者的臨床療效和藥物不良反應(yīng)。結(jié)果治療12個月后患者的有效率為93.33%(56/60例)。CD4~+T淋巴細胞計數(shù)和病毒載量:與治療前的(104.74±9.58)pcs·μL~(-1)、(7.76±0.42)g·copies·m L~(-1)比較,治療3個月后分別為(144.64±6.47)pcs·μL~(-1)、(4.80±0.20)g·copies·m L~(-1),差異均有統(tǒng)計學(xué)意義(均P0.05)。有7例患者發(fā)生骨髓抑制,5例發(fā)生肝毒性(在治療后1,2個月出現(xiàn)),3例出現(xiàn)Ⅱ級末梢神經(jīng)炎(在治療后3,4,6個月出現(xiàn))。結(jié)論 HAART療法對HIV患者進行治療,免疫學(xué)和病毒學(xué)效果良好。
[Abstract]:Objective to study the application of HAART in HIV / AIDS patients. Methods 60 AIDS patients admitted from June 2013 to January 2015 were included in the study, and all patients were treated with high effective antiretroviral therapy. Combined treatment: lamivudine 0.3 g QD, zidovudine 0.3 g bid, efeverun 600 mg Qn.Three months and 12 months after treatment, the changes of CD4T lymphocyte count and HIV viral load were compared. Results after 12 months of treatment, the effective rate of the patients was 93.33 / 56 / 56 / 60 / 56 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 / 60 cases: compared with the pre-treatment period of 104.74 鹵9.58pcs 路渭 L ~ (-1) and 7.76 鹵0.42 g / copies 路mL ~ (-1), respectively, the clinical efficacy and adverse drug reactions of the patients were analyzed. After 3 months of treatment, it was 144.64 鹵6.47g 路渭 L copies 路copies 路copies 路L ~ (-1) (4.80 鹵0.20g 路copies 路mL ~ (-1)), respectively. The difference was statistically significant (all P 0.05). There were 7 cases of bone marrow suppression and 5 cases of hepatotoxicity (1 month, 2 months after treatment) and 3 cases of grade 鈪,
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