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首页|期刊导航|湖北科技学院学报(医学版)|利福喷丁与利福平在肺结核治疗中的疗效及其对肝功能影响研究

利福喷丁与利福平在肺结核治疗中的疗效及其对肝功能影响研究

李岐 孙晟

湖北科技学院学报(医学版)2025,Vol.39Issue(1):43-47,5.
湖北科技学院学报(医学版)2025,Vol.39Issue(1):43-47,5.DOI:10.16751/j.cnki.2095-4646.2024081906

利福喷丁与利福平在肺结核治疗中的疗效及其对肝功能影响研究

Study on the Efficacy and Liver Function Impact of Rifapentine and Rifampicin in the Treatment of Pulmonary Tuberculosis

李岐 1孙晟2

作者信息

  • 1. 通山县人民医院,湖北 通山 437699
  • 2. 泰康同济(武汉)医院药学部
  • 折叠

摘要

Abstract

Objective To analyze the efficacy and liver function impact of rifapentine and rifampicin in the treatment of tu-berculosis.Methods 82 patients with pulmonary tuberculosis who were admitted and treated in our hospitals were selected as the research subjects.All patients were received anti-tuberculosis treatment plan.41 patients were included in the control group and treated with rifampicin tablets,the other 41 patients were included in the observation group and treated with rifampicin.The sputum smear conversion rate,cavity closure rate,lesion absorption rate,clinical treatment effect,liver function,T cell subpopulation level,GBP5 expression level,and drug adverse reactions were observed in both groups.Results After 6 months of medication,the obser-vation group had a higher rate of sputum smear conversion,cavity closure,lesion absorption and clinical treatment effect than those in the control group(P<0.05).All liver function indicators in both groups were higher than the indicators before treat-ment(P<0.05).But the observation group was lower than the control group(P<0.05).The CD3+and CD8+indicators in both groups were lower than the value before treatment,while the CD4+and CD4+/CD8+indicators were higher than the value before treatment(P<0.05).The GBP5 levels in both groups were lower than the levels before treatment(P<0.05),and the level in the observation group was more significant(P<0.05).The observation group had the fewer adverse reactions compared to the control group(P<0.05).Conclusion In the treatment of pulmonary tuberculosis,the use of conventional anti-tuberculo-sis therapy combined with rifapentine treatment is relatively more effective,as well as the lower incidence of adverse drug reac-tions and higher use value.

关键词

肺结核/利福喷丁/利福平/痰涂片转阴率/肝功能指标/T细胞亚群

Key words

Pulmonary tuberculosis/Rifapentine/Rifampicin/Sputum smear conversion rate/Liver function indicators/T cell subpopulation

分类

医药卫生

引用本文复制引用

李岐,孙晟..利福喷丁与利福平在肺结核治疗中的疗效及其对肝功能影响研究[J].湖北科技学院学报(医学版),2025,39(1):43-47,5.

湖北科技学院学报(医学版)

2095-4646

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