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目的探索抗痨治疗中肝损害情况与肝功能检查中两种免费方式的关系,以利于结核病门诊工作。方法2006～2007年所有肺结核患者治疗中肝功能检查分别采用两种不同的免费方式,病人在治疗过程中进行随访。结果两种免费方式人均免费金额分别为261.14元、246.02元,肝功能损害率分别为13.79%、8.92%。结论采取始治时肝功能和乙肝三系检查自费,以后根据需要在疗程内采取肝功能检查全部免费的方式,对具有潜在药物性肝损害的患者早期采取保肝措施,及时制订合理的化疗方案对减少肝脏损害有实际意义。
Objective To explore the relationship between liver damage in anti-tuberculosis treatment and two free methods in liver function tests in order to facilitate outpatient treatment of tuberculosis. Methods From 2006 to 2007, all patients with pulmonary tuberculosis underwent liver function tests in two different free ways. Patients were followed during the course of treatment. Results The per capita free amount for the two free methods was 261.14 yuan and 246.02 yuan respectively, and the liver function impairment rates were 13.79% and 8.92%, respectively. Conclusion Liver function and hepatitis B three lines examination at the beginning of treatment are paid at their own expense. Afterwards, liver function tests are taken free of charge within the course of treatment according to need. Patients with potential drug-induced liver damage should take early liver protection measures and develop a reasonable chemotherapy plan in time. It is of practical significance to reduce liver damage.