第一线抗结核疗法 (ATT) 的副作用:是否存在替代疗法?
Gauri Goswami1, Pradeep Nirala2, Rajeev Tandon3
1Respiratory Medicine, Royal Oldham Hospital, Manchester, GBR.
Cureus
|February 2, 2026
概括
非标准的抗结核疗法 (ATT) 方案对于药物敏感结核病患者,如肝损伤等不良影响至关重要. 在强化阶段,修改过的ATT成功地改善了大多数患者的症状和放射性结果.
科学领域:
- 结核病的治疗方法
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 标准抗结核疗法 (ATT) 涉及2HRZE/4HRE治疗方案.
- 副作用和并发症经常需要非标准化的治疗计划.
研究的目的:
- 评估非标准的ATT制度的使用,理由和结果.
- 评估修改ATT在药物敏感结核病患者中的有效性.
主要方法:
- 一项对148名在第三级护理医院的患者进行前性观察性研究.
- 由于副作用或并发症,患者接受了非标准的ATT.
- 随访重点集中在治疗的密集阶段.
主要成果:
- 药物诱导的肝损伤 (53.4%) 和胃肠道不耐受 (21.6%) 是非标准ATT的主要原因.
- HRE是最常见的替代疗法 (35.1%).
- 76%的患者在密集期结束时出现了临床改善和60.1%的放射性解决;在修改后的治疗方案中没有发现任何不良影响.
结论:
- 由于药物不良反应,特别是肝毒性,非标准的ATT通常是必要的.
- 在大多数患者中,修改后的治疗方案导致了显著的症状和放射性改善.
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