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一线核苷(酸)类似物经治的慢性乙型肝炎患者低病毒血症的发生及治疗策略

郑嵘炅 鲁晓擘

临床肝胆病杂志2024,Vol.40Issue(5):880-883,4.
临床肝胆病杂志2024,Vol.40Issue(5):880-883,4.DOI:10.12449/JCH240506

一线核苷(酸)类似物经治的慢性乙型肝炎患者低病毒血症的发生及治疗策略

Low-level viremia in chronic hepatitis B patients treated with first-line treatment with nucleos(t)ide analogues and its treatment strategies

郑嵘炅 1鲁晓擘1

作者信息

  • 1. 新疆医科大学第一附属医院感染性疾病中心,乌鲁木齐 830054
  • 折叠

摘要

Abstract

Highly effective oral antiviral therapy with low drug resistance can strongly inhibit HBV replication;however,some patients may still have low-level viremia(LLV)after receiving entecavir,tenofovir disoproxil fumarate,tenofovir alafenamide,or tenofovir amibufenamide for 48 weeks or more.Multiple studies in China and globally show that LLV after antiviral therapy is closely associated with the progression of chronic hepatitis B liver fibrosis,the risk of decompensated liver cirrhosis and hepatocellular carcinoma,and the reduction in long-term survival rate.Therefore,this article reviews the development,risk factors,and clinical harm of LLV after first-line treatment with nucleos(t)ide analogues,as well as different treatment regimens,in order to provide a reference for the treatment of LLV in chronic hepatitis B patients in the future.

关键词

乙型肝炎,慢性/核苷类/核苷酸类/低病毒血症

Key words

Hepatitis B,Chronic/Nucleosides/Nucleotides/Low-Level Viremia

引用本文复制引用

郑嵘炅,鲁晓擘..一线核苷(酸)类似物经治的慢性乙型肝炎患者低病毒血症的发生及治疗策略[J].临床肝胆病杂志,2024,40(5):880-883,4.

临床肝胆病杂志

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