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中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (6): 351-353.

• 论著 • 上一篇    下一篇

老年肺结核的抗结核药物性肝损害分析

刘琨;黄冬生;黄广雄;岑文昌;   

  1. 广州市胸科医院 广州 510095;
  • 出版日期:2006-06-10 发布日期:2006-11-03

The character of drug-induced liver injury caused by anti-tuberculosis drugs in the geriatric tuberculosis patients

Liu Kun,Huang Dongsheng,Huang Guangxiong,et al.   

  1. The Chest Hospital of Guangzhou,Guangzhou 510095 China
  • Online:2006-06-10 Published:2006-11-03

摘要: 目的探讨老年人抗结核药物性肝损的特点。方法统计两组在抗结核药抗结核治疗中出现药物性肝损的发生率,对比两组间肝损发生率、肝损情况、引起肝损的原因、出现药物性肝损的时间及临床症状的差异,统计学处理用SPSS11.0软件,P<0.05为差异有显著性。结果实验组肝损发生率、ALT200U以上和合并黄疸的例数、临床症状的严重程度均较对照组升高,而ALT120~200U的例数较对照组降低(P<0.05),两者存在显著性差异。两组资料显示引起药物性肝损的原因中以利福平为主,出现药物性肝损的时间以2~4周为高峰,而引起药损的三种药物的构成比、出现肝损与时间之间两组均没有显著性差异(P>0.05)。结论老年人的肝损发生率高且肝损程度严重。

关键词: 老年, 抗结核药, 肝炎,中毒性

Abstract: Objective To study the characteristics of drug-induced liver injury caused by anti-tuberculosis drugs in the geriatric tuberculosis patients Method The frequency of drug-induced liver injury during the treatment with anti-tuberculosis drugs was calculated in the test group and control group.The frequency,the degree,the cause,the appearance of drug-induced liver injury caused by anti-tuberculosis drugs and the difference of clinic symptom between the two groups were compared.The software SPSS11.0 was used to deal with the data,and there is significant difference if P<0.05.The clinical symptom,the frequency and the cases whose ALT was? Result over 200U and with jaundice in the test group were more than those in the control group, and the cases whose ALT was between 120~200U were less than the control group (P<0.05),and the difference between the two groups was significant.The data from the two groups showed that the drug-induced liver injury was mostly caused by Rifampicin,the fastigium of drug-induced liver injury appeared after 2~4 weeks.There was no difference in the proportion of the three anti-tuberculosis drugs which caused the liver injury,the appearance and the appearing time of drug-induced liver injury between the two groups. Conclusion The frequency of liver injury is higher and degree of liver injury is more serious in the geriatric tuberculosis patients.

Key words: The elderly, Antitubercular agents, Hepatitis,toxic