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抗结核药物治疗所致肝损伤患者的危险因素及其治疗转归观察

李新刚

医学信息2019,Vol.32Issue(3):155-157,3.
医学信息2019,Vol.32Issue(3):155-157,3.DOI:10.3969/j.issn.1006-1959.2019.03.051

抗结核药物治疗所致肝损伤患者的危险因素及其治疗转归观察

Risk Factors and Treatment Outcomes of Patients with Liver Injury Caused by Anti-tuberculosis Drugs

李新刚1

作者信息

  • 1. 佳木斯市结核病防治院结核二内科,黑龙江 佳木斯 154002
  • 折叠

摘要

Abstract

Objective To investigate the risk factors and treatment outcomes of patients with liver injury caused by anti-tuberculosis drugs. Methods The clinical data of 1033 anti-tuberculosis patients admitted to our hospital from January 2013 to January 2017 were retrospectively analyzed. Among them, 158 patients developed liver damage caused by anti-tuberculosis drugs (DILD) , and all patients were statistically analyzed. Age, history of liver disease, alcoholism, malnutrition, and sputum. Logistics multivariate regression analysis was used to analyze the risk factors and treatment outcomes of patients with DILD. Results Among 1033 anti-tuberculosis patients, 158 cases had DILD, the incidence rate was 15.30%. Age, liver disease history, alcoholism, malnutrition, and sputum positive were risk factors for DILD (P<0.05) . After treatment of 158 patients with DILD, 150 patients (94.94%) were successfully treated and 8 patients (5.06%) were treated with failure. Conclusion Age, liver disease history, alcoholism, malnutrition, and sputum positive are risk factors for DILD. Clinically, it is necessary to monitor the drug use of dangerous people, adjust the treatment plan in time, reduce the incidence of DILD, and prompt patients to successfully complete chemotherapy.

关键词

抗结核药物/肺结核/肝损伤/危险因素/治疗转归/痰菌阳性

Key words

Anti-tuberculosis drugs/Tuberculosis/Liver injury/Risk factors/Treatment outcome/Sputum positive

分类

医药卫生

引用本文复制引用

李新刚..抗结核药物治疗所致肝损伤患者的危险因素及其治疗转归观察[J].医学信息,2019,32(3):155-157,3.

医学信息

1006-1959

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