[The short-term efficacy of nucleoside analogue on the treatment of acute-on-chronic liver failure].
OBJECTIVE
To discuss the short-term efficacy of nucleoside analogue on the treatment of hepatitis B virus induced acute-on-chronic liver failure (HBV-ACLF).


METHODS
348 patients with HBV-ACLF in our hospital from January 2006 to June 2008 were selected. According to the stages of patient's condition and whether or not with nucleoside analogue administration, The patients were divided into early stage therapy group, early stage control group, middle stage therapy group and middle stage control group. Groups were compared on the basis of stages. The clinical data were analyzed using chisquare test and independent-Samples T Test.


RESULTS
After 2 weeks of therapy no significant difference found between the therapy group and the control group. the total bilirubin (TBil) and alanine transaminase (ALT) showed no significant difference between the middle stage therapy group and the control group in 4 weeks of therapy. However significant differences existed in the HBV DNA negative rate, PTA, the model for end-stage liver disease (MELD) score and the improvement rate between the two groups (P<0.05, P<0.01). Only the 4 week survival rate and HBV DNA negative rate showed significant difference in patients who received anti-virus therapy on the early stage as compared to the control group.


CONCLUSIONS
Anti-virus therapy with nucleoside analogue is an effective way for the treatment of those patients with HBV-ACLF and can increase the survival rate.
Liver Failure Treatment and Research Center, 302 Hospital of PLA, Beijing 100039, China.
Xiao-yan
XY
Liu
Hui-fen
HF
Wang
Jin-hua
JH
Hu
Wei-ping
WP
He
Hai-qing
HQ
Wang
Na
N
Liu
D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use*; D058625:End Stage Liver Disease / Q000188:drug therapy* / Q000821:virology; D005260:Female; D006515:Hepatitis B virus / Q000187:drug effects; D019694:Hepatitis B, Chronic / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009705:Nucleosides / Q000627:therapeutic use*; D016896:Treatment Outcome
D000998:Antiviral Agents; D009705:Nucleosides