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ALT正常的慢性乙型肝炎抗病毒治疗策略

丁洋 窦晓光

临床肝胆病杂志2018,Vol.34Issue(5):926-929,4.
临床肝胆病杂志2018,Vol.34Issue(5):926-929,4.DOI:10.3969/j.issn.1001-5256.2018.05.003

ALT正常的慢性乙型肝炎抗病毒治疗策略

Antiviral therapeutic strategies for chronic hepatitis B patients with a normal alanine aminotransferase level

丁洋 1窦晓光1

作者信息

  • 1. 中国医科大学附属盛京医院感染科,沈阳110022
  • 折叠

摘要

Abstract

Alanine aminotransferase (ALT) is one of the most sensitive biochemical parameters used to reflect the degree of liver injury.It is generally believed that patients with hepatitis B virus (HBV) infection and a normal ALT level are in the immune tolerance state,and no antiviral therapy is required in patients without liver inflammation or those with mild liver inflammation.However,these patients are not always in the immune tolerance state,and the disease can insidiously progress to chronic hepatitis B (CHB),liver cirrhosis,and even hepatocellular carcinoma.Therefore,antiviral therapy for CHB patients with normal ALT has always been a hot topic of clinical research.This article elaborates on the association between ALT and liver inflammation in CHB patients and the timing of antiviral therapy for CHB patients with normal ALT.

关键词

肝炎,乙型,慢性/丙氨酸转氨酶/临床方案

Key words

hepatitis B, chronic/alanine transaminase/clinical protocols

分类

医药卫生

引用本文复制引用

丁洋,窦晓光..ALT正常的慢性乙型肝炎抗病毒治疗策略[J].临床肝胆病杂志,2018,34(5):926-929,4.

基金项目

十三五国家传染病防治科技重大专项(2017ZX10201201,2017ZX10202202) (2017ZX10201201,2017ZX10202202)

辽宁省地方专业性技术创新平台建设项目(2016007013) (2016007013)

辽宁省自然科学基金项目(2014021007) (2014021007)

临床肝胆病杂志

OA北大核心CSTPCD

1001-5256

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