Application of direct-acting antiviral agents in perioperative period of liver transplantation for patients with hepatitis C
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摘要:
对于慢性丙型肝炎肝移植患者而言,移植术后HCV复发问题曾是困扰医疗界的难题。随着对HCV复制周期的认识,各种新型直接抗病毒药物的出现,给既往干扰素方案治疗无效的丙型肝炎患者带来希望。基于国内外的最新研究进展,回顾性介绍了直接抗病毒药物的作用机制、发展历程,重点分析不同用药方案在肝移植术前及术后的临床应用、治疗效果及潜在风险,并对该类药物用于丙型肝炎肝移植患者围手术期的治疗策略作一系统综述。结果表明此类药物能安全有效地用于围手术期的抗病毒治疗,并且不同作用靶点的药物的联合应用可作为慢性丙型肝炎患者肝移植围手术期抗病毒治疗的推荐方案。
Abstract:For patients with chronic hepatitis C who undergo liver transplantation,recurrence of hepatitis C virus( HCV) infection after liver transplantation has always been a great challenge in the medical field. With our increased understanding of HCV replication cycle,the appearance of direct- acting antiviral agents( DAAs) has brought new hope to patients who have failed interferon therapy. Based on the latest research advances at home and abroad,this article retrospectively introduces the mechanism of action and the development of DAAs,focuses on the clinical application,therapeutic effects,and potential risks of various regimens with DAAs before and after liver transplantation,and systematically reviews the application of DAAs in the perioperative period of liver transplantation for patients with hepatitis C. The results show that DAAs are safe and effective as perioperative antiviral therapies,and a combination of drugs with different targets is recommended as the antiviral therapy in the perioperative period of liver transplantation for patients with chronic hepatitis C.
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Key words:
- hepatitis C virus /
- liver transplantation /
- antiviral agents /
- review
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