综合医院初治涂阳肺结核病人短程化疗的疗效评价

中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (2): 72-74.

综合医院初治涂阳肺结核病人短程化疗的疗效评价

蒋昌三；石其文；

湖南省娄底地区卫生防疫站;

收稿日期:1998-02-17 修回日期:1998-10-05 出版日期:1999-02-10 发布日期:1999-02-10

Effect evaluation of new smear positive patients with pulmonary tuberculosis that received short course chemotherarapy in general hospitals

Jiang Changsan,Shi Qiwen.

Sanitary and Antiepidemic Station of Loudi District,Hunan 417000

Received:1998-02-17 Revised:1998-10-05 Online:1999-02-10 Published:1999-02-10

摘要/Abstract

摘要： 目的评价综合医院治疗初治涂阳肺结核病人的疗效?方法调查6所综合医院收治初治涂阳肺结核病人的情况,并将其结果与世界银行贷款结核病控制项目取得的疗效进行比较分析?结果综合医院收治的初治涂阳肺结核病人仅63.8%(136/213)完成全疗程,总治愈率仅54%,完成全部疗程的136例中仅115例治愈,治愈率为84.6%,而世界银行贷款结核病控制项目治疗的病人,总治愈率为98.8%,两组比较差异极显著(P<0.01)?结论综合医院不适于对肺结核病人实施短程督导化疗?结防机构必须加强结核病人的发现与管理工作,提高肺结核病人的治愈率?

关键词: 结核.肺, 化学疗法, 综合医院

Abstract: Objective To evaluate the effects of short course chemotherapy implemented by general hospitals on new smear positive patients with pulmonary tuberculosis.Method Investigations were carried out in 6 general hospitals and results were compared with those of the World Bank Loaned Tuberculosis Control Project.Result It showed that,in general hospitals,only 63 8%(136/213) of the new smear positive patients with pulmonary tuberculosis completed the full curse of chemotherapy with a total cure rate of 54 0%,and only 115 out of the 136 patients were cured with a cure rate of 84 6%,which was significantly lower( P <0 01)than that (98 8%) achieved by the World Bank Loaned Tuberculosis Control Project in the same period in the district.Conclusion General hospitals are not suited for DOTS implementation,and on the other hand,tuberculos is control institutions should spare no efforts in TB patients finding in order to strengthen the management and supervision.

Key words: Tuberculosis, pulmonary, Chemotherapy, General hospital

蒋昌三, 石其文, . 综合医院初治涂阳肺结核病人短程化疗的疗效评价[J]. 中国防痨杂志, 1999, 21(2): 72-74.

Jiang Changsan,Shi Qiwen.. Effect evaluation of new smear positive patients with pulmonary tuberculosis that received short course chemotherarapy in general hospitals[J]. Chinese Journal of Antituberculosis, 1999, 21(2): 72-74.

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