Современная этиотропная терапия хронического вирусного гепатита В

Автор: Бунькова Е.Б., Билва Н.А., Билв А.Е., Синельников М.И.

Журнал: Вестник медицинского института "РЕАВИЗ": реабилитация, врач и здоровье @vestnik-reaviz

Статья в выпуске: 4 т.14, 2024 года.

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Хронический вирусный гепатит В представляет собой значимую проблему здравоохранения в мировом масштабе. Биологические характеристики вируса гепатита В, являющегося возбудителем данного заболевания, существенно затрудняют достижение полной элиминации вируса у большинства пациентов. В связи с этим рациональный выбор лекарственных препаратов и схем противовирусной терапии имеет решающее значение для увеличения продолжительности жизни и улучшения её качества у пациентов с хроническим вирусным гепатитом В.Цель настоящего обзора литературы заключается в выявлении современных подходов и трендов в этиотропной терапии хронического вирусного гепатита В.Материалы и методы. В обзоре использованы данные, опубликованные в отечественных и зарубежных научных журналах, клинических рекомендациях, нормативных документах и интернет-ресурсах.Результаты. В настоящее время наиболее эффективными средствами этиотропной терапии хронического вирусного гепатита В являются интерфероны (стандартный интерферон альфа, пегилированные интерфероны альфа-2а и альфа-2b), а также аналоги нуклеозидов/нуклеотидов «первой линии» (энтекавир, тенофовир) и «второй линии» (ламивудин, телбивудин, адефовир). Выбор конкретного лекарственного препарата определяется клиническим состоянием пациента, его предпочтениями, доступностью и стоимостью лечения. Несмотря на определённые ограничения современных средств этиотропной терапии хронического вирусного гепатита В, их применение позволяет значительно увеличить продолжительность жизни пациентов и улучшить её качество.

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Хронический вирусный гепатит в, вирус гепатита в, интерфероны, аналоги нуклеозидов/нуклеотидов, этиотропная терапия, противовирусная терапия

Короткий адрес: https://sciup.org/143183542

IDR: 143183542 | DOI: 10.20340/vmi-rvz.2024.4.CLIN.4

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