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目的探讨双环醇在预防抗结核药物性肝损害的效果。方法将160例肺结核患者随机分成两组。两组都采用标准“2HRZE/4HR”方案进行抗结核治疗。同时,治疗组加用双环醇。对照组加用葡醛内酯,观察两组患者治疗过程中肝损伤发生情况。结果 80例治疗组患者发生肝损5例。80例对照组发生肝功能损伤17例,发生率分别为6.2%和22%,差异有显著性统计学意义,且治疗组肝损害程度亦低于对照组(P<0.01)。结论双环醇可有效预防抗结核药物所致的药物性肝损害。
Objective To investigate the effect of bicyclol in preventing hepatic injury induced by antituberculosis drugs. Methods 160 patients with pulmonary tuberculosis were randomly divided into two groups. Both groups adopted standard “2HRZE / 4HR” regimen for anti-TB treatment. At the same time, the treatment group with bicyclol. The control group plus glucurolactone, observed two groups of patients during the treatment of liver injury. Results Eighty patients in the treatment group had liver damage in 5 cases. There were 17 cases of liver damage in 80 cases of control group, the incidence rates were 6.2% and 22% respectively, the difference was statistically significant, and the degree of liver damage in the treatment group was also lower than that in the control group (P <0.01). Conclusion Bicyclol can effectively prevent drug-induced liver damage caused by anti-TB drugs.