文章摘要
青海某医院耐多药肺结核治疗中不良反应报告
Report of adverse reactions in treatment of multi-drug resistant pulmonary tuberculosis in one hospital of Qinghai Province
  
DOI:10.3969/j.issn.1007-8134.2020.05.012
中文关键词: 耐多药肺结核  不良反应  影响
英文关键词: MDR-TB  adverse reaction  influence
基金项目:
作者单位
曹德龙 青海省第四人民医院药械科 
王玉清 青海省第四人民医院呼吸一科 
王晓霞 青海大学校医务室 
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中文摘要:
      目的 探讨耐多药肺结核患者药物治疗中不良反应发生情况。方法 回顾性分析我院2014年2月—2017年2月收治的76例耐多药肺结核患者的临床资料,统计不良反应发生情况。结果 76例耐多药肺结核患者中有60例发生不良反应,共68例次,不良反应发生率居前3位的是胃肠道反应、关节痛或肌肉痛和肝脏毒性,分别为25.00%、17.11%和14.47%。不同性别、年龄、户籍所在地以及是否为初治的耐多药肺结核患者的不良反应发生率比较差异均无统计学意义(P均>0.05)。共计60例患者发生68次不良反应,其中维持原治疗的患者34例,占56.67%;需要调整药物剂量或更换药物的患者18例,占30.00%;需要停止治疗的患者8例,占11.76%。结论 耐多药肺结核患者治疗过程中不良反应发生率高,但只要及时观察不良反应发生情况,掌握好中断治疗,更换或停用药物相关标准和指征,多数患者是可以继续治疗的,不应随意停药或中断治疗。
英文摘要:
      Objective To investigate the incidence of adverse reactions in patients with multi-drug resistant pulmonary tuberculosis during the medication. Methods The clinical data of 76 patients with multi-drug resistant pulmonary tuberculosis admitted to our hospital from February 2014 to February 2017 were retrospectively analyzed, and the incidence of adverse reactions was counted. Results The enrolled 76 patients with multi-drug resistant pulmonary tuberculosis in this group had 60 case and 68 case-times adverse reactions. The top 3 adverse reactions were gastrointestinal reactions, arthralgia or muscle pain and liver toxicity, accounting for 25.00%, 17.11% and 14.47%, respectively. There were no statistically significant differences in the incidence of adverse reactions among patients with different gender, age, household registration, and whether they were initially treated multi-drug resistant pulmonary tuberculosis patients (P > 0.05). Among 68 adverse reactions, there were 60 patients in total, 34 patients of them needed to maintain the original treatment, accounting for 56.67%; 18 patients of them needed dose adjustment or drug replacement, accounting for 30.00%; and 8 patients of them needed to stop treatment, accounting for 11.76%. Conclusions The incidence of adverse reactions in patients with multi-drug resistant pulmonary tuberculosis is high during treatment. However, through close and timely observations on the occurrence of adverse reactions and the understanding of relevant criteria and indications, most patients can continue to receive treatment, and drug withdrawal or treatment discontinuance should not be performed at will.
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