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６３８％（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８４６％，而世界银行贷款结核病控制项目治疗的病人，总治愈率为９８８％，两组比较差异极显著（Ｐ＜００１）。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。
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.
出处
《中国防痨杂志》
CAS
1999年第2期72-74,共3页
Chinese Journal of Antituberculosis
关键词
综合医院
肺结核
药物疗法
短程化疗
Tuberculosis, pulmonary Chemotherapy General hospital
