[Interferon alpha treatment in chronic hepatitis C].

G Calleri, G Dassio
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Abstract

Alpha Interferon showed effective in the treatment of chronic type C hepatitis, but a consensus has not been reached about the selection of patients and therapy schedules so far. We treated 36 patients with chronic type C hepatitis in the outpatient ward of the 1st Infectious Diseases Dept., "Amedeo di Savoia" Hospital, Torino (Head of Dept.: Prof. W. Grillone) in the period 1990-1992. Alpha IFN 1-6 MU thrice weekly for 6-12 months was used. The average follow up period after therapy was 8.5 months. Four patients dropped out during the treatment period. The clinical response was evaluated using serum transaminases: 9 patients showed a full response, 9 patients had a hepatitis relapse after stopping the treatment, 6 patients had a partial response, and 9 were treatment failures. A better response was observed in young patients, drug addicts, with chronic persistent hepatitis and high transaminases levels. Side effects of the treatment were very frequent, but usually short lasting, and seldom responsible for dropping out.

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[干扰素α治疗慢性丙型肝炎]。
α干扰素在慢性丙型肝炎的治疗中显示出有效的效果,但迄今为止,关于患者的选择和治疗方案尚未达成共识。1990-1992年期间,我们在都灵"Amedeo di Savoia"医院第一传染病科门诊治疗了36例慢性丙型肝炎患者(系主任:W. Grillone教授)。α - IFN 1-6 μ,每周3次,连续6-12个月。治疗后平均随访时间为8.5个月。4例患者在治疗期间退出。用血清转氨酶评价临床反应:9例完全缓解,9例停止治疗后肝炎复发,6例部分缓解,9例治疗失败。在年轻患者、吸毒成瘾者、慢性持续性肝炎和高转氨酶水平患者中观察到更好的反应。治疗的副作用非常频繁,但通常持续时间短,很少导致退出。
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