乙肝小三阳用什么药物治疗？ 乙肝小三阳和大三阳一般用什么药物治疗？
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\u3000\u3000\u6d1b\u5e03\u5361\u97e6\uff08lobucavir\uff09
\u3000\u3000\u6d1b\u5e03\u5361\u97e6\uff08BMS-180194\uff09\u7cfb\u6838\u82f7\u7c7b\u6297\u75c5\u6bd2\u836f\uff0c\u76ee\u524d\u5bf9\u4e8e\u6cbb\u7597\u6162\u6027\u4e59\u809d\u5728\u8fdb\u5165\u671f\u4e34\u5e8a\u8bd5\u9a8c\u9636\u6bb5\u3002
\u3000\u3000\u836f\u7406\u4f5c\u7528\uff1a\u4f53\u5916\u8bd5\u9a8c\u8868\u660e\uff0c\u6d1b\u5e03\u5361\u97e6\u5bf9\u591a\u79cdDNA\u75c5\u6bd2\uff0c\u5982HSV-1\uff0c2\uff1bVZV\uff0cCMV\uff0cHBV\uff0c\u4ee5\u53caHIV\u5747\u6709\u8f83\u5f3a\u7684\u6291\u5236\u4f5c\u7528\u3002\u5bf9\u571f\u62e8\u9f20\u809d\u708e\u548c\u9e2d\u809d\u708e\u75c5\u6bd2\u611f\u67d3\u7684\u52a8\u7269\uff0c\u53ef\u964d\u4f4e\u8840\u6e05\u548c\u809d\u810f\u5185\u75c5\u6bd2DNA\u7684\u6c34\u5e73\u3002\u6d1b\u5e03\u5361\u97e6\u5728\u7ec6\u80de\u5185\u7ecf\u78f7\u9178\u5316\uff0c\u8f6c\u5316\u4e3a\u4e09\u78f7\u9178\u5316\u5408\u7269\uff0c\u6291\u5236\u75c5\u6bd2\u7684\u805a\u5408\u9176\u548c\u53cd\u8f6c\u5f55\u9176\uff0c\u4ece\u800c\u963b\u65adDNA\u7684\u5408\u6210\u3002
\u3000\u3000\u836f\u52a8\u5b66\uff1a\u53e3\u670d\u6d1b\u5e03\u5361\u97e6\u80f6\u56ca\u5438\u6536\u826f\u597d\uff0c\u751f\u7269\u5229\u7528\u5ea685%\uff0cT1/2\u7ea6\u4e3a2h-3h\uff0c\u4e3b\u8981\u7531\u80be\u810f\u6392\u6cc4\u3002
\u3000\u3000\u4e34\u5e8a\u7597\u6548\uff1a\u6bd4\u8f83\u53e3\u670d\u6d1b\u5e03\u5361\u97e6200mg\uff0c400mg\uff0c\u548c800mg\uff0c\u6cbb\u7597\u6162\u6027\u4e59\u809d\u75c5\u4eba\u6709\u660e\u663e\u6291\u5236\u8840\u6e05\u5185HBV-DNA\u7684\u4f5c\u7528\uff0c\u660e\u663e\u4f18\u4e8e\u5b89\u6170\u5242\u7ec4\u3002\u8fde\u7eed\u670d\u752812\u5468\u540e\uff0c29\u4f8b\u4e2d18\u4f8bHBV-DNA\u6c34\u5e73\u964d\u4f4e\u81f3\u6d4b\u4e0d\u51fa\u7684\u6c34\u5e73\uff0c<2.5pg/ml)\uff0c\u4f46\u505c\u836f\u540e\uff0c\u53c8\u89c1\u56de\u5347\u3002\u76ee\u524d\u62df\u8fdb\u884c\u2162\u671f\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u63a8\u8350\u5242\u91cf\u4e3a200-400mg/\u65e5\u3002
\u3000\u3000\u4e19\u578b\u809d\u708e
\u3000\u3000\u03b1\u5e72\u6270\u7d20\u4e3a\u76ee\u524d\u5bf9\u4e19\u578b\u809d\u708e\u6709\u6548\u7684\u836f\u7269\uff0c\u8fd1\u5e74\u6765\u7740\u91cd\u7814\u7a76\u6700\u5408\u9002\u7684\u5242\u91cf\u548c\u7597\u7a0b\uff0c\u7597\u6548\u7684\u9884\u6d4b\u56e0\u7d20\uff0c\u4e0e\u5176\u4ed6\u6297\u75c5\u6bd2\u836f\u7684\u8054\u5408\u5e94\u7528\u3002
\u3000\u3000\u9002\u5e94\u75c7\uff1a\u6025\u6027\u4e19\u578b\u809d\u708e\u73b0\u8ba4\u4e3a\u5c5e\u4e8e\u6cbb\u7597\u5bf9\u8c61\uff0c\u53ca\u65f6\u6cbb\u7597\u53ef\u9632\u6b62\u6162\u6027\u5316\u3002\u6240\u6709\u6162\u6027\u4e19\u809d\u75c5\u4eba\uff0c\u6700\u597d\u90fd\u6709\u6cbb\u7597\u7684\u673a\u4f1a\uff0c\u4f46\u76ee\u524d\u53ea\u6709\u4e00\u90e8\u5206\u7ecf\u8fc7\u9009\u62e9\u7684\u624d\u9002\u5408\u5e72\u6270\u7d20\u6cbb\u7597\u3002\u4e3b\u8981\u7684\u9002\u5e94\u75c7\u662f\u6613\u53d1\u5c55\u7684\u809d\u786c\u5316\u7684\u9ad8\u5371\u75c5\u4eba\uff0c\u4e34\u5e8a\u4e0aALT\u6301\u7eed\u6216\u53cd\u590d\u589e\u9ad8\u3001HCV-RNA\u9633\u6027\u3001\u809d\u6d3b\u68c0\u6709\u6c47\u7ba1\u533a\u6216\u6865\u8f6c\u7ea4\u7ef4\u5316\u3001\u6216\u81f3\u5c11\u6709\u4e2d\u7b49\u7a0b\u5ea6\u708e\u75c7\u548c\u574f\u6b7b\u3002\u53e6\u4e00\u7ec4ALT\u589e\u9ad8\uff0c\u809d\u6d3b\u68c0\u4ec5\u6709\u8f7b\u5ea6\u574f\u6b7b\u708e\u75c7\uff0c\u6ca1\u6709\u7ea4\u7ef4\u5316\u7684\u75c5\u4eba\uff0c\u662f\u5426\u5e94\u7acb\u5373\u6cbb\u7597\uff0c\u8fd8\u4e0d\u6e05\u695a\uff0c\u6216\u8bb8\u53ef\u4ee5\u8ffd\u8e2a\u89c2\u5bdf\uff0c\u6bcf\u96943-5\u5e74\u518d\u4f5c\u4e00\u6b21\u809d\u6d3b\u68c0\u540e\u51b3\u5b9a\u3002\u5c0f\u4e8e18\u5c81\u548c\u5927\u4e8e60\u5c81\u7684\u75c5\u4eba\uff0c\u4e0d\u63a8\u8350\u7528\u5e72\u6270\u7d20\u6cbb\u7597\u3002\u5bf9\u4e8eALT\u6b63\u5e38\u7684HCV\u611f\u67d3\u75c5\u4eba\uff0c\u73b0\u6709\u8d44\u6599\u5e76\u4e0d\u8bc1\u660e\u5e72\u6270\u7d20\u6709\u597d\u5904\uff0c\u53cd\u800c\u53ef\u5f15\u8d77ALT\u589e\u9ad8\uff0c\u6545\u6682\u4e0d\u4e88\u6cbb\u7597\u3002\u6709\u5438\u6bd2\u6216\u9157\u6d12\u8005\uff0c\u9700\u505c\u6b62\u5438\u6bd2\u6216\u7981\u6d126\u4e2a\u6708\u540e\u624d\u53ef\u8fdb\u884c\u6cbb\u7597\u3002\u6162\u6027\u4e19\u809d\u5408\u5e76HIV\u611f\u67d3\u8005\uff0c\u5982\u75c5\u60c5\u7a33\u5b9a\uff0c\u4e34\u5e8a\u548c\u514d\u75ab\u529f\u80fd\u826f\u597d\u8005\uff0c\u53ef\u6309\u7167\u4e0a\u8ff0\u7684\u5242\u91cf\u548c\u7597\u7a0b\u7528\u5e72\u6270\u7d20\u6cbb\u7597\u3002\u75c5\u4eba\u5982\u6709\u4e25\u91cd\u5fe7\u90c1\u75c7\u7684\u75c5\u53f2\u3001\u8840\u7ec6\u80de\u51cf\u5c11\u3001\u7532\u72b6\u817a\u673a\u80fd\u4ea2\u8fdb\u3001\u80be\u79fb\u690d\u548c\u81ea\u8eab\u514d\u75ab\u75c5\uff0c\u5747\u5e94\u4f5c\u4e3a\u7981\u5fcc\u75c7\u3002
\u3000\u3000\u7597\u6548\u8bc4\u4f30\uff1a
\u3000\u3000\u6839\u636eALT\u590d\u5e38\u3001HCV-RNA\u9634\u8f6c\u3001\u809d\u6d3b\u68c0\u6539\u5584\u4e09\u65b9\u9762\u7efc\u5408\u8bc4\u4f30\u3002\u81f3\u5c11\u5e94\u5305\u62ecALT\u548cHCV-RNA\u3002\u5206\u522b\u8bc4\u4f30\uff1a\u8fd1\u671f\u7597\u6548\uff08ESR\uff09\u548c\u8fdc\u671f\u7597\u6548\uff08SR\uff09\u3002\u5728\u6cbb\u7597\u8fc7\u7a0b\u51fa\u73b0\u53cd\u8df3\uff0c\u79f0\u4e3a\u7a81\u7834\u3002\u505c\u836f\u540e\u53cd\u8df3\u79f0\u4e3a\u590d\u53d1\u3002
\u3000\u3000\u5e72\u6270\u7d20\u5bf9\u4e19\u809d\u7684\u7597\u6548\uff1a
\u3000\u3000\u6025\u6027\u4e19\u809d\uff1aIFN\u5bf9\u6025\u6027\u4e19\u809d\u7684\u7597\u6548\u8f83\u597d\uff0c\u53ca\u65f6\u5e94\u7528IFN\u53ef\u9884\u9632\u6025\u6027\u809d\u4e3a\u53d1\u5c55\u4e3a\u6162\u6027\u809d\u708e\uff0c\u6839\u636e8\u4e2a\u968f\u673a\u5bf9\u7167\u7814\u7a76\uff0c\u7528IFN3MU\uff0c\u4e00\u5468\u4e09\u6b21\uff0c\u7597\u7a0b3\u4e2a\u6708\uff0c\u8f83\u672a\u6cbb\u7597\u7ec4\u6709\u5f88\u9ad8\u7684ETR\u548cSR\u3002\u5728\u505c\u836f12\u4e2a\u6708\u540e\uff0cIFN\u6cbb\u7597\u7ec4\u7684\u75c5\u6bd2\u9634\u8f6c\u7387\u4e3a41%\u3002\u800c\u793a\u6cbb\u7597\u7ec4\u4ec5\u4e3a4%\u3002
\u3000\u3000\u6162\u6027\u4e19\u809d\uff1a\u5728\u6b27\u7f8eIFN\u5df2\u666e\u904d\u5730\u7528\u4e8e\u6cbb\u7597\u6162\u6027\u4e19\u578b\u809d\u708e\u3002\u5bf91249\u540d\u7f8e\u56fd\u7684\u6d88\u5316\u79d1\u548c\u809d\u79d1\u533b\u5e08\u8c03\u67e5\uff0c\u51e1ALT\u589e\u9ad8\u7684\u6162\u6027\u4e19\u809d\u75c5\u4eba90%\u8fdb\u884c\u809d\u6d3b\u68c0\uff0c60%\u63a5\u53d7IFN\u6cbb\u7597\u3002\u7efc\u5408\u6587\u732e\u7684\u62a5\u544a\uff0c\u5e94\u7528IFN3MU\uff0c\u4e00\u5468\u4e09\u6b21\uff0c6\u4e2a\u6708\uff0c\u809d\u810f\u751f\u5316\u529f\u80fd\uff08ALT\uff09ESR\u4e3a35%-50%\uff0cSR6\u4e3a8%-21%\u3002\u75c5\u6bd2\u6807\u5fd7ESR\u4e3a27%-35%\uff0cSR6\u4e3a8%-12%\u3002\u5982\u679c\u5c06\u7597\u7a0b\u5ef6\u957f\u523012\u4e2a\u6708\uff0cETR\u4e0e6\u4e2a\u6708\u7597\u7a0b\u65e0\u660e\u663e\u5dee\u522b\uff0c\u4f46\u590d\u53d1\u7387\u663e\u8457\u964d\u4f4e\uff0cSR6\u63d0\u9ad8\u8fd1\u4e00\u500d\uff0c\u4e3a19%-42%\u3002\u6bd4\u8f83\u4e0d\u540c\u7c7b\u578bIFN\u4e4b\u95f4\u7684\u7597\u6548\uff0c\u867d\u7136\u5404\u62a5\u544a\u7597\u6548\u4e4b\u95f4\u5dee\u522b\u8f83\u5927\uff0c\u901a\u8fc7\u6c47\u96c6\u5206\u6790\uff0cIFN-\u03b12b\u3001IFN\u03b12a IFN\u03b1-nl\u548cCIFN\u4e4b\u95f4\u7684\u7597\u6548\u57fa\u672c\u76f8\u540c\u3002\u6bd4\u8f83\u4e0d\u540c\u7597\u7a0b\uff0c\u8ba4\u4e3a12\u4e2a\u6708\u7684\u7597\u7a0b\u8f83\u597d\uff0c\u5982\u589e\u52a0\u5242\u91cf\uff0c\u4ea6\u53ef\u9002\u5f53\u589e\u52a0ETR\u548cSR\u3002\u6bd4\u8f83IFN-\u03b12b 6MU\u6cbb\u75976\u4e2a\u6708\u7684\u7597\u6548\uff0cETR\u5206\u522b\u4e3a61%\u548c52%\uff0cSR6\u5206\u522b\u4e3a28%\u548c18%\u3002IFN-\u03b12a 6MU\u6cbb\u75976\u4e2a\u6708\uff0c\u5176STR\u548cSR6\u5206\u522b\u4e3a22%-64%\u548c6%-33%\u3002\u7528IFN-\u03b1nl 6MU \u6cbb\u759712\u4e2a\u6708\uff0cETR\u548cSR\u5206\u522b\u4e3a26%\u548c16%\u3002\u6240\u4ee5\u5355\u589e\u52a0\u5242\u91cf\u6240\u5f97\u5230\u7684\u597d\u5904\u4e0d\u5927\uff0c\u4f46\u4e0d\u826f\u53cd\u5e94\u76f8\u5e94\u589e\u52a0\u3002\u56e0\u6b64NIN\u7684\u5171\u8ba4\u4f1a\u8bae\u63a8\u8350\u5728\u4e00\u822c\u60c5\u51b5\u4e0b\u75283MU, \u6bcf\u5468\u4e09\u6b21\uff0c\u7597\u7a0b12\u4e2a\u6708\uff0c\u5fc5\u8981\u65f6\u53ef\u5ef6\u957f\u81f318-24\u4e2a\u6708\u3002\u5bf9\u4e8e\u521d\u6cbb\u65e9\u671f\u7597\u6548\u4e0d\u597d\u6216\u590d\u53d1\u75c5\u4eba\uff0c\u53ef\u589e\u52a0\u5242\u91cf\u3002
\u3000\u3000\u590d\u53d1\u548c\u65e0\u6548\u75c5\u4eba\u518d\u6cbb\u7597\u7684\u7ed3\u679c\uff1a\u5bf9\u590d\u53d1\u7684\u75c5\u4eba\uff0c\u5e94\u7528\u539f\u6765\u5242\u91cf\u6216\u589e\u52a0\u5242\u91cf\u518d\u6cbb\u759712\u4e2a\u6708\uff0cETR\u53ef\u8fbe\u523079%-85%\uff0cSR\u4e3a51%\u3002\u5bf9\u521d\u6cbb\u65e0\u6548\u7684\u75c5\u4eba\uff0c\u518d\u6cbb\u7597\u7684\u6548\u679c\u5dee\uff0cETR\u4e3a14%-30%\uff0cSR\u4f4e\u4e8e10%\u3002
\u3000\u3000\u6301\u7eed\u7597\u6548\u7684\u4e34\u5e8a\u610f\u4e49\uff1a\u5bf9\u8fbe\u5230SR\u75c5\u4eba\u957f\u671f\u968f\u8bbf\uff0c\u7ea690%ALT\u7ef4\u6301\u6b63\u5e38\uff0cHCV-RNA\u9634\u6027\uff0c\u809d\u6d3b\u68c0\u7ec4\u7ec7\u5b66\u660e\u663e\u6539\u5584\uff0c\u90e8\u5206\u75c5\u4eba\u7684\u809d\u810f\u6062\u590d\u6b63\u5e38\u3002\u8fd9\u79cd\u75c5\u4eba\u53ef\u8ba4\u4e3a\u57fa\u672c\u6cbb\u6108\u3002
\u3000\u3000\u5f71\u54cd\u7597\u6548\u7684\u56e0\u7d20 \u5e94\u7528\u591a\u53d8\u91cf\u56de\u5f52\u5206\u6790\uff0c\u5f71\u54cdIFN\u6cbb\u7597\u6548\u679c\u7684\u5404\u79cd\u56e0\u7d20\uff0c\u4ee5\u6cbb\u7597\u524d\u75c5\u6bd2\u7684\u8d1f\u8377\u91cf\u6cbb\u7597\u8fc7\u7a0b\u4e2d\u75c5\u6bd2\u7684\u964d\u4f4e\u6c34\u5e73\u3001\u75c5\u6bd2\u7684\u57fa\u56e0\u578b\u548c\u809d\u7ec4\u7ec7\u5b66\u6539\u53d8\u6700\u4e3a\u91cd\u8981\uff0c\u5176\u6b21\u4e0e\u75c5\u7a0b\u3001\u75c5\u4eba\u5e74\u9f84\u3001\u809d\u810f\u5185\u542b\u94c1\u91cf\u7b49\u6709\u5173\u3002\u5728\u6cbb\u7597\u524d\u4e86\u89e3\u8fd9\u4e9b\u9884\u6d4b\u56e0\u7d20\uff0c\u5728\u6cbb\u7597\u8fc7\u7a0b\u4e2d\u5bc6\u5207\u89c2\u5bdfHCV-RNA\u548cALT\u6539\u53d8\u7684\u65f6\u76f8\uff0c\u6709\u52a9\u4e8e\u89c4\u5212\u548c\u6539\u53d8\u6cbb\u7597\u65b9\u6848\u7684\u51b3\u7b56\u3002
\u3000\u3000\u4e59\u809d\u5eb7\u590d\u7f51 \u63d0\u4f9b\u8d44\u6599
小三阳治疗方法是： 1.口服拉米呋啶(抗病毒)， 2.口服复方鳖甲软肝片(阻止肝纤维化)， 3.口服肝得宁， 上述三药联合使用，疗效更佳。
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绛旓細鍥炵瓟锛氭寚瀵兼剰瑙: 灏忎笁闃虫不鐤楁柟娉曟槸: 1.鍙ｆ湇鎷夌背鍛嬪暥(鎶楃梾姣), 2.鍙ｆ湇澶嶆柟槌栫敳杞倽鐗(闃绘鑲濈氦缁村寲), 3.鍙ｆ湇鑲濆緱瀹, 涓婅堪涓夎嵂鑱斿悎浣跨敤,鐤楁晥鏇翠匠銆
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