首页|双环醇联合还原型谷胱甘肽治疗抗结核药物所致药物性肝损伤患者的临床效果

双环醇联合还原型谷胱甘肽治疗抗结核药物所致药物性肝损伤患者的临床效果

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目的 探讨双环醇联合还原型谷胱甘肽治疗抗结核药物所致药物性肝损伤(DILI)患者的临床效果.方法 选取2021年1月至2022年12月我院收治的100例抗结核药物所致DILI患者,随机分为对照组和研究组各50例.对照组予以还原型谷胱甘肽治疗,研究组予以双环醇联合还原型谷胱甘肽治疗,均连续治疗3周.比较两组的临床疗效、肝功能指标[谷草转氨酶(AST)、丙氨酸转氨酶(ALT)、总胆红素(TBIL)、γ-谷氨酰转肽酶(GGT)]及不良反应.结果 研究组治疗总有效率为96.00%,高于对照组的80.00%(P<0.05).治疗后,研究组AST、ALT、TBIL、GGT水平均低于对照组(P<0.05).治疗期间,研究组不良反应发生率为10.00%,与对照组的6.00%比较无统计学差异(P>0.05).结论 双环醇联合还原型谷胱甘肽治疗抗结核药物所致DILI患者,可明显提升临床疗效,改善患者肝功能,且安全可靠,值得临床推广应用.
Clinical Effect of Bicyclol Combined with Reduced Glutathione in the Treatment of Patients with Drug-Induced Liver Injury Caused by Anti-Tuberculosis Drugs
Objective To explore the clinical effect of bicyclol combined with reduced glutathione in the treatment of patients with drug-induced liver injury(DILI)caused by anti-tuberculosis drugs.Methods 100 patients with DILI caused by anti-tuberculosis drugs admitted to our hospital from January 2021 to December 2022 were selected and randomly divided into control group(50 cases)and study group(50 cases).The control group was treated with reduced glutathione,and the study group was treated with bicyclol combined with reduced glutathione.Both groups were treated continuously for 3 weeks.The clinical efficacy,liver function indicators(AST,ALT,TBIL,GGT)and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the study group was 96.00%,higher than 80.00%in the control group(P<0.05).After treatment,the AST,ALT,TBIL and GGT levels of the study group were lower than those of the control group(P<0.05).During treatment,no statistical difference was found in the incidence of adverse reactions(10.00% vs.6.00%)between the two groups(P>0.05).Conclusions Bicyclol combined with reduced glutathione in the treatment of patients with DILI caused by anti-tuberculosis drugs can significantly improve the clinical efficacy and liver function of patients,and is safe and reliable,which is worthy of clinical promotion and application.

Drug-induced liver injuryBicyclolReduced glutathioneClinical efficacyLiver function

王红、蔡晓建

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周口市传染病医院内科,河南周口 466000

周口市传染病医院耐药结核科,河南周口 466000

药物性肝损伤 双环醇 还原型谷胱甘肽 临床疗效 肝功能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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