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中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (6): 371-373.

• 论著 • 上一篇    下一篇

五酯胶囊防治抗结核药物肝损害的临床观察

肖健强;邓笑媚;   

  1. 广东省韶关粤北第二人民医院 韶关 512026;
  • 出版日期:2003-06-10 发布日期:2003-11-03

The clinical observation on the effects of Wu-Zhi Capsules in preventing and treating liver damage caused by anti-tuberculosis drugs

XIAO Jiang-qiang,DENG Xiao-mei.   

  1. NO.2 people hospital, Yuebei,Shaoguan,Guangdong province 512026
  • Online:2003-06-10 Published:2003-11-03

摘要: 目的 观察五酯胶囊对抗结核药物所致肝损害的防治效果。方法 初治肺结核179例,给予2HRZS(E)/4~10HR抗结核治疗,治疗组96例,全程加服五酯胶囊;对照组83例,全程加服葡醛内酯。结果 治疗组出现肝损害7例(7.3%),其中HBsAg阳性患者出现肝损害5例(11.4%);对照组出现肝损害32例(38.6%),其中HBsAg阳性患者出现肝损害20例(52.6%)。两组差异显著(P<0.01)。HBsAg、HBeAg阳性患者在抗结核治疗中肝功能更容易受损害。结论 五酯胶囊在防治抗结核药物所致肝损害的发生是有效的,尤其是HBsAg阳性的结核病患者。

关键词: 结核,肺, 五酯胶囊, 药物毒性

Abstract: Objective To determine the effect of Wu-Zhi Cap su les in preventing and treating liver damage caused by anti-tuberculosis drugs.Methods 179 initially-treated pulmonary tuberculosis patients who received the regimen of 2HRZS(E)/4~10HR were randomly separated into 2 grou ps:Observe group,96 cases,supplemented with Wu-Zhi Capsules for six mouths and Control group,83 cases,received glucurolactone.Results There were 7 cases who had liver damage in observe grou p (7.3%),5 cases with HBsAg positive (11.4%);There were 32 cases who had liver damage in control group (38.6%),20 cases with HBsAg positive (52.6%).There wa s signific ant difference between the 2 groups (P<0.01).HBsAg,HBeAg positive patients were more likely to have liver damage in anti-tuberculosis treatment.Conclusion Wu-Zhi capsules is effective in preventing and trea ting liver damage caused by anti-tuberculosis drugs,HBsAg,HBeAg positive patien ts’ liver function should be monitored in the early period of anti-tuberculosis treatment.

Key words: Tuberculosis,pulmonary, Wu-Zhi Capsules, Drug adverse effect