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中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (11): 623-626.

• 论著 • 上一篇    下一篇

天津市大专院校肺结核治疗管理模式研究

钟达1；张玉华1；傅衍勇1；陈盛玉1；杨光伟1；姚颖2；刘淑琴3；李荣欣4；于洪叶5；武培红5；杨旭6   

  1. 1．天津市结核病控制中心 天津 300041；2.南开大学校医院 天津 300071；3.天津大学校医院 天津 300072；4.天津师范大学校医院 天津 300387；5.天津医科大学校医院 天津 300070；6.天津医科大学公共卫生学院 天津 300070
  • 出版日期:2009-11-10 发布日期:2011-11-03

Study on the new tuberculosis treatment management model in the universities of Tianjin

Zhong Da1, Zhang Yuhua1, Fu Yanyong1, Chen Shengyu1, Yang Guangwei1,Yao Ying2, Liu Shuqin3, Li Rongxin4, Yu Hongye5, Wu Peihong5, Yang Xu6   

  1. 1. Tianjin Tuberculosis Control Center, Tianjin 300041, China; 2.Nankai University Hospital, Tinajin 300071,China;3.Tianjin University Hopital, Tianjin 300072,China；4.Tianjin Normal University Hospital, Tianjin 300387,China；5.Tianjin Medical University Hospital, Tianjin 300070,China；6. School of Public Health of Tianjin Medical University, Tianjin 300070,China
  • Online:2009-11-10 Published:2011-11-03

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摘要： 目的评价天津市大专院校肺结核新治疗管理模式试点效果。方法对4所试点大专院校学生肺结核患者按照新治疗管理模式进行管理，对非试点大专院校学校学生在结防机构按常规进行DOTS管理，比较2种管理办法的治疗效果。结果4所试点院校学生肺结核患者规则治疗率、规则查痰率、涂阴完成治疗率、系统管理率分别为90.9%、89.1%、95.8%、87.3%，均高于非试点院校的71.6%、70.3%、81.0%、66.2%，差异均有统计学意义（P均<0.05）；涂阳肺结核患者治愈率为85.7%高于对照组81.8%，但差异无统计学意义（P>0.05）。结论天津市4所试点院校采用的肺结核新治疗管理模式取得很好效果，针对不足进行改进后，值得在全市推广。

关键词: 结核, 肺/治疗, 医师诊疗模式, 天津市,

结核，肺/治疗, 医师诊疗模式, 天津市

Abstract: ObjectiveTo evaluate the effectiveness of the new tuberculosis treatment management model pilot in universities of Tianjin, and to lay a good foundation for future spread to all universities of Tianjin. MethodsThe TB patients in four pilot unversities were managed with new model and the TB patients in other universities were managed with DOTS in TB control institutions, the effectiveness of these two models were compared. ResultsRegular treatment rate, regular sputum examination rate, treatment completion rate of sputum smear negative and systematic management rate were 90.9%, 89.1%, 95.8% and 87.3% respectively, which were much more than the others in other universities (71.6%, 70.3%, 81.0% and 66.2%). There were statistically significant differences between two groups（P<0.05）.The cure rate of sputum smear positive cases was 85.7%, which was higher than 81.8% of the compared group, but there was no statistical significant difference（P>0.05）. ConclusionsThe new tuberculosis treatment management model was successfully implemented in the four pilot universities. It is valuable to promote in all universities of Tianjin.

Key words: tuberculosis,pulmonary/therapy, physician&rsquo, s practice patterns, Tianjin citiy,

tuberculosis,pulmonary/therapy, physician&rsquo, s practice patterns, Tianjin citiy

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