摘要
目的探讨和分析复发涂阳肺结核的发生原因。方法采用回顾性方法分析,对重庆市2002-2004年在结防机构登记的复发涂阳肺结核患者就诊、治疗等情况进行分析。结果原在非结防机构初治化疗的患者从出现症状到开始抗痨治疗的时间在2个月以上达84.8%、不规则治疗达90%;结防机构的患者治愈后1年复发占27%;非结防机构患者治愈后1年复发占46%。结论非结防机构治愈的肺结核患者延误治疗时间较长;不规则治疗及复发率均高于结防机构。建议应切实加强对肺结核患者的归口管理和治疗,加强结防机构与综合医疗机构的合作,充分发挥三级防痨网的督导作用,减少肺结核患者复发。
Objective To explore and analyze the reasons of relapse TB patients. Methods To adopt retrospective methods,and to analyze the situation of diagnosis and therapy for relapse smear positive TB patients in TB dispensaries in Chongqing from 2002 to 2004. Results The first treatment patients whose therapy was delayed from symptoms appearing to therapy beginning reached 84.8% in non-TB dispensary. The irregular treatment rate was 90%, relapse rate after one year treatment was 27 % for TB dispensaries and 46% for non-TB dispensaries. Conclusion The treatment time was delayed longer in non-TB dispensary;irregular treatment rate and relapse rate in non-TB dispensary were larger than that in TB-dispensary. It is suggested that strengthening TB referral management and treatment,cooperation of TB dispensary with the general hospitals, developing supervision on the three-level TB control network should be taken for reducing relapse of TB patients.
出处
《重庆医学》
CAS
CSCD
2007年第3期243-244,共2页
Chongqing medicine
