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中国防痨杂志 ›› 2001, Vol. 23 ›› Issue (3): 178-180.

• 论著 • 上一篇    下一篇

煤工尘肺复治肺结核两种治疗方案疗效分析

陈安启;程振;韩素敏;   

  1. 安徽省淮北矿业集团公司职业病防治院 淮北 235000;
  • 出版日期:2001-03-10 发布日期:2001-11-03

An analysis on the therapeutic effect of 3SHRZ/3HRZE/12HRE and 3SHRZ/9HRE on coal worker’s pneumoconiosis-tuberculosis

CHEN An-qi,CHENG Zhen,HAN Su-min.   

  1. Hospital for the Prevention and Treatment of Occupational Disease Huaibei Coal Mine Group, Anhui 235000
  • Online:2001-03-10 Published:2001-11-03

摘要: 目的 探讨煤工尘肺结核复治病例较佳的治疗方案。方法 对出院的煤工尘肺结核复治病例中应用3SHRZ/3HRZE/12HRE194例和3SHRZ/9HRE72例抗痨治疗疗效作回顾性分析。结果 痰菌阴转率:治疗6个月和疗程结束后,两种方案痰菌阴转率有显著性差异(P<0.05);胸片好转率也有显著性差别(P<0.05)。结论 煤工尘肺结核复治病例的治疗,采用3SHRZ/3HRZE/12HRE方案,即强化阶段6个月、疗程18个月疗效较满意,不宜采用12个月疗程化疗。

关键词: 煤工尘肺, 结核,肺/药物疗法

Abstract: Objective To probe into the better retreatment scheme for the coal worker’s pneumoconiosis-tuberculosis treatment. Methods Analyse the therapeutic effect and the anti-tuberculosis treatment in the case in which 194 3SHRZ/3HRZE/12HRE and 73 3SHRZ/9HRE were applied on these patients who had been discharged from hospital. Results After 6 months treatment,both of these 2 treatment schemes were obviously different in the sputum tubercle bacillus negative convertion-rate on all kinds of the coal worker’s pneumoconisis-tuberculosis(P<0.05); and so were they on the redution-rate of chest X-ray after the course of treatment (P<0.05). Conclusion The 6-month strengthened period-the scheme of the 3SHRZ/3HRZE/12HRE applied on the reteatment of the coal worker’s pneumoconiosis-tuberculosis case,and the course of treatment was as long as 18 months. The therapeutic effect was quite satisfactory,so it is not appropriate to apply the 12-month scheme.

Key words: coal worker’s pneumoconiosis, Tuberculosis,pulmonary/drug therapy