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根据Okamoto基因分型法对28例丙肝患者的病毒基因进行了分型,18例为HCV-Ⅱ型,10例为HCV-Ⅲ型。重点研究了α-2bIFN治疗HCV-Ⅱ型患者和HCV-Ⅲ型患者免疫功能的不同改变:在α-2bIFN治疗前,HCV-Ⅱ型患者和HCV-Ⅲ型患者之间IgG、IgM、IgA、CD4百分比、CD8百分比及CD4/CD8比值6项指标无明显差别。α-2bIFN治疗8w时,HCV-Ⅲ型患者CD4/CD8比值明显高于HCV-Ⅱ型患者CD4/CD8比值。α-2bIFN治疗1个疗程(12w)时,HCV-Ⅲ型患者CD4百分比,CD4/CD8比值明显高于HCV-Ⅱ型患者。α-2bIFN治疗1个疗程后第4周(16w)时,HCV-Ⅲ型患者CD4百分比,CD4/CD8比值仍明显高于HCV-Ⅱ型患者,但在整个治疗过程中,HCV-Ⅲ型和Ⅱ型患者IgG、IgM、IgA和CD8百分比4项指标改变无显著差异。α-2bIFN治疗HCV-Ⅲ型患者,其CD4百分比,CD4/CD8比值改变明显高于HCV-Ⅱ型患者。这可能是α-2bIFN治疗HCV-Ⅲ型患者疗效明显好于HCV-Ⅱ型患者重要原因之一。
According to Okamoto genotyping, the viral genes of 28 hepatitis C patients were genotyped, 18 were HCV-II and 10 were HCV-III. The different changes of immune function in α-2bIFN-treated HCV-Ⅱand HCV-Ⅲ patients were mainly studied: IgG, IgM, IgA, CD4 percentage, CD8 percentage and CD4 / CD8 ratio of six indicators no significant difference. The ratio of CD4 / CD8 in patients with HCV-Ⅲ was significantly higher than that in patients with HCV-Ⅱ when treated with α-2bIFN for 8 weeks. The percentage of CD4 and the ratio of CD4 / CD8 in HCV-Ⅲ patients were significantly higher than those in HCV-Ⅱ patients after α-2bIFN treatment for one course of treatment (12 weeks). The CD4 percentage and the CD4 / CD8 ratio in patients with HCV-Ⅲ were significantly higher than those in patients with HCV-Ⅱ at the 4th week (16w) after treatment with α-2bIFN. However, in the whole course of treatment, HCV-Ⅲ and There was no significant difference in the four indicators of type Ⅱ IgG, IgM, IgA and CD8 percentage. α-2bIFN treatment of HCV-Ⅲ type of patients, the percentage of CD4, CD4 / CD8 ratio was significantly higher than HCV-Ⅱ type patients. This may be the α-2bIFN treatment of HCV-Ⅲ type of patients was significantly better than HCV-Ⅱ type of patients one of the important reasons.