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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (8): 634-637.doi: 10.3969/j.issn.1000-6621.2014.08.003

• 专家论坛 • 上一篇    下一篇

耐药结核病化学治疗研究的过去、现状与未来

肖和平 方勇 范琳 刘一典   

  1. 200433  同济大学附属上海市肺科医院结核病诊疗中心 上海市结核病(肺)重点实验室
  • 收稿日期:2014-07-08 出版日期:2014-08-10 发布日期:2014-09-07
  • 通信作者: 肖和平 E-mail:xiaoheping_sars@163.com

The past, present and future of study in the chemotherapy of drug-resistant tuberculosis

XIAO He-ping, FANG Yong, FAN Lin, LIU Yi-dian   

  1. Shanghai Key Lab of Tuberculosis, Tuberculosis Center for Diagnosis and Treatment, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai  200433, China
  • Received:2014-07-08 Online:2014-08-10 Published:2014-09-07
  • Contact: XIAO He-ping E-mail:xiaoheping_sars@163.com

摘要: 耐药结核病的流行是当前结核病控制工作面临的主要挑战之一,严重威胁人们在结核病控制领域所取得的成就。抗结核药物是控制结核病的最有效武器,但面对耐多药结核病尤其是广泛耐药结核病明显力不从心,结核病有可能因此而再度成为“不治之症”。研制更有效的抗结核药物,设计具有抗耐药结核病的化学治疗方案,化解耐药结核病的治疗困境,迫在眉睫。作者通过回顾历史,着眼现在,展望未来,阐述耐药结核病化学治疗的若干问题,期待有助于读者对耐药结核病化学治疗研究有一个较为全面的认识,共同探索化学治疗控制耐药结核病流行的可行性。

关键词: 结核, 抗多种药物性/药物疗法, 临床方案, 回顾性研究

Abstract: The prevalence of drug-resistant tuberculosis (TB) is one of the main challenges on current TB control which seriously influences the achievement people had made in this field. Anti-TB drugs are the most effective weapons in controlling TB, however, they have been obviously not enough to deal with multidrug-resistant TB, especially extensively drug-resistant TB, TB is more likely to become the incurable disease again because of this reason. Therefore, it is urgent to develop more effective anti-TB drugs, design the chemotherapy regiment on drug-resistant TB and solve the difficulty in treating drug-resistant TB. The authors reviewed the history, focused on the present and looked ahead the future, elucidated several issues about treatment on drug-resistant TB and had expectation that readers would have a comprehensively understanding of chemotherapy for drug-resistant TB and make efforts altogether to explore the possibility of controlling the epidemic of drug-resistant TB by chemotherapy.

Key words: Tuberculosis, multidrug-resistant/drug therapy, Clinical protocols, Retrospective studies