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530例重症肺结核的成因及防控策略探讨 被引量:6

Impact Factors and Preventive Strategy of Serious Pulmonary Tuberculosis
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摘要 目的 调查分析重症肺结核成因 ,探讨防控策略。方法 对我院 1996~ 2 0 0 2年收治的重症肺结核 5 30例进行问卷调查 ,分析重症形成原因。结果 重症肺结核成因是多方面的 ,且多有重叠 ,主要成因为不规则化疗或未全程化疗 346例 (6 5 % ) ,化疗方案不合理 2 86例 (5 4 % ) ,误诊误治 191例 (36 % )。结论 重症肺结核成因以不规则化疗 ,不合理化疗及误诊误治为主。及早发现、合理化疗、健康教育、有效督导 ,预防和治愈重症病例 。 Objective To investigate the impact factors of serious pulmonary tuberculosis and the preventive strategy.Methods Five hundred thirty patients with serious pulmonary tuberculosis during the period 1996~2002 in our hospital had been investigated with questionnaire.The impact factors were analyzed.Results There were 65% of patients who was not regularly treated or dic not complete the full chemotherapy course,54% had unreasonable chemotherapy regimen,and 36% was misdiagnosed.Conclusion The impact factors of serious pulmonary tuberculosis may be irregular and unreasonable treatment or misdiagnosis.Earlier diagnosis,reasonable therapy,health education and effective supervision are the basic strategy of preventing and controlling serious pulmonary tuberculosis.
机构地区 解放军第
出处 《江西医学院学报》 2004年第5期50-51,54,共3页 Acta Academiae Medicinae Jiangxi
关键词 结核 重症 成因 防控 策略 tuberculosis,pulmonary serious ill impact facfor prevention control strategy
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  • 1范秉哲.结核病学[M].北京:人民卫生出版社,1964.431.
  • 2Gangadheram PRJ.Chemotherapy of tuberculosis under program conditions with special relevance to India[J].Tubercle and Lung Disease,1994,75(3):241-244.
  • 3Kochi A.The global tuberculosis situation and the new control strategy of the World Health Organization[J].Tubercle,1991,72:3.
  • 4曾纪霖.肺结核误诊问题讨论会纪要[J].中华结核和呼吸杂志,1985,8:263-263.
  • 5万利亚,武桂英,龚幼龙,赵丰曾.结核病管理策略对复治原因的影响研究[J].中国防痨杂志,2003,25(6):347-350. 被引量:36

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