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412例抗结核药物导致肝损害的临床评价分析
Retrospective Clinical Evaluation of Anti tuberculosis Drug Induced Liver Injury
  
DOI:
中文关键词:  肝损害  抗结核药物  临床评价分析
英文关键词:Liver damage  Anti tituberculosis drug  Clinical evaluation and analysis
基金项目:2013年川北医学院科研发展计划项目(编号:CBY13-B-QN15)
作者单位
李凌未马凌飞李胜前 ①宣汉县人民医院(四川宣汉 636150)
②川北医学院附属医院。 
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中文摘要:
      摘 要 目的:探讨412例抗结核药物导致的肝脏损害的危险因素及临床特点。方法:回顾性调查分析 2011 年 8月~2015 年 9月川东北地区4家三甲医院进行抗结核治疗发生肝损害患者的性别、年龄,临床症状及肝功能指标检测情况,发生肝损害的时间关系,以及肝损害患者的治疗后的转归。结果:4 272例抗结核治疗的患者中出现肝损害的有412例,发生率为9.5%。老年患者肝损害发生率为20.8%(20/96),明显高于非老年患者的9.3%(390/4176),差异有统计学意义(P<0.01)。412例肝损害患者中,318例(77.2%)发生于用药60 d 内;300例患者(72.8%)出现典型肝炎临床症状,112例患者(27.2%)无症状;经过治疗后有387 例患者(93.9%)好转或痊愈,25例患者(6.1%)未愈。结论:老年患者使用抗结核药物导致肝损害的发生率较高,因此,针对老年患者在使用抗结核药物治疗过程应密切监测患者的肝功能,及时调整治疗方案。
英文摘要:
      ABSTRACT Objective:To explore the risk factors and clinical features of liver damage from 412 cases of the use of anti tuberculosis drugs. Methods:The age,gender,clinical symptoms, liver function index,time correlation and outcome of the patient of liver damage with anti tuberculosis treatment were retrospectively studied from four top three hospitals in the northeastern Sichuan from August 2010 to September 2015.Results:There were 412 cases of liver damage in 4 272 cases patients, the incidence of 9.5%.The incidence in old patients of liver damage were 20.8%(20/96), and significantly higher than that of 9.3%(390/4 176)of young patients. The difference was statistically significant(P<0.01).There were 318 patients (77.2% of liver damage within 60 days with anti tuberculosis treatment, and 300 patients(72.8%) with clinical symptoms of hepatitis,and 112 patients with asymptomatic (27.2%). After treatment, 387 patients (93.9%) got better or heal, and 25 patients(6.1%)healed.Conclusion:The incidence in old patients of liver damage with anti tuberculosis treatment were significantly higher, it should be closely monitored in old patients with anti tuberculosis treatment with liver function,and timely adjustment of treatment.
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