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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (9): 67-70.

• 论著 • 上一篇    下一篇

影响结核分枝杆菌/艾滋病病毒双重感染患者抗结核治疗转归的非治疗因素

周林; 陈磊; 王倪; 刘二勇; 何金戈; 刘飞鹰; 王巧智; 薛晓;   

  1. 1.中国疾控中心结核病预防控制中心;2.四川省疾控中心结核病预防控制所; 3.广西壮族自治区疾控中心结防科; 4.湖南省结核病防治所;
  • 出版日期:2010-09-20 发布日期:2010-09-20

Impact of non-therapeutic factors on TB treatment outcome of TB/HIV patients

Zhou Lin1; Chen Lei1; Wang Ni1; Liu Eryong1; He Jinge2; Liu Feiying3; Wang Qiaozhi4; Xue Xiao1   

  1. 1.National Center for TB Control and Prevention; Beijing CDC 102206; China; 2.Sichuan Provincial Center for TB Control and Prevention; Chengdu 510000; 3.TB Division; Guangxi Autonomous Region CDC; Nanning 450000; 4.Hunan TB Control institute; Changsha 430000;
  • Online:2010-09-20 Published:2010-09-20
  • Contact: Zhou Lin E-mail:zhoulin@chinatb.org

摘要: 目的 了解非治疗因素对结核分枝杆菌/艾滋病病毒(TB/HIV)双重感染患者抗结核治疗转归的影响。 方法 以2007—2008年3个省共6个县,新发现TB/HIV双重感染患者为观察对象,分析这些患者的性别、年龄、职业、文化程度、婚姻状况等非治疗因素对抗结核治疗转归的影响。 结果采用治疗成功(治愈+完成治疗),丢失(中断治疗)作为结局变量,共纳入294例患者观察。患者以中、青年男性为主,HIV感染途径主要为静脉吸毒及性传播,近1/3的患者无固定职业,为小学或以下文化程度,婚姻状况为离异或丧偶。文化程度低、离异或丧偶患者,抗结核治疗中断治疗率高。 结论 要减少TB/HIV双重感染患者抗结核治疗中断治疗率,应重视患者心理支持及治疗前后的健康教育,尤其对无固定职业、文化程度较低、离异或丧偶患者。

关键词: 获得性免疫缺陷综合征, 结核/治疗, 重叠感染, 治疗结果

Abstract: Objective To understand the impact of non-therapeutic factors on TB treatment outcome of patients co-infected with TB/HIV disease.  Methods All newly discovered TB/HIV patients during 2007—2008 from 6 counties were observed, non-therapeutic factors including sex, age, occupation, education level, and marital status were analyzed.  Result Taking treatment success (cure and treatment completion), loss (treatment interruption) as outcome variables, 294 patients were included enrolled in this study. The majority of patients were middle-aged or youth male. HIV was mainly transmitted through intravenous drug use and sex. Nearly one third of patients had no regular employment, and their education level was primary school or even less, marital status was divorced or widowed. Patients with lower education level, divorced or widowed are more likely to interrupt the treatment.  Conclusion In order to reduce the interruption rate of TB treatment, we should pay more attention to patient’s psychological support and health education before and after treatment, especially for patients with non-regular employment, lower education level, divorced or widowed.

Key words: AIDS, tuberculosis/therapy, superinfection, treatment outcome