The Journal of international medical research. 2025 Jun;53(6):3000605251348228. doi: 10.1177/03000605251348228 Q31.52025
Liver functions and medication adherence in tuberculosis patients after 6 months of antituberculosis treatment in Indonesia
印度尼西亚肺结核患者完成为期六个月的抗结核治疗后的肝功能和服药依从性状况 翻译改进
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DOI: 10.1177/03000605251348228 PMID: 40511725
摘要 中英对照阅读
研究目的:本研究旨在评估结核病患者在接受6个月治疗后的肝功能,并根据患者的服药依从性和个人特征确定转氨酶水平的变化。
方法:我们采用前瞻性队列设计。纳入标准为接受一线抗结核药物治疗的成人结核病患者。使用《药物依从性比率量表》问卷测量患者的用药依从性。此外,我们在治疗2个月、4个月和6个月时分别检测总胆红素、天门冬氨酸氨基转移酶(AST)和丙氨酸氨基转移酶(ALT)水平。
结果:本研究共纳入了233名结核病患者,其中58.91%为男性患者,平均年龄为40.31岁(标准差: 18.00)。总体而言,86.3%的患者的用药依从性良好。患者报告AST水平升高(占40%)和ALT水平升高(占64%)。不同依从性组之间的总胆红素水平没有显著差异。用药依从性差的结核病患者表现出显著升高的ALT和AST水平(p
结论:在治疗2个月、4个月和6个月期间,特别是在女性患者中,应监测丙氨酸氨基转移酶和天门冬氨酸氨基转移酶水平。
关键词:6个月治疗;印度尼西亚;肝功能;ALT;AST;结核病。
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