摘要
目的研究从现行６个月短化方案进一步缩短化疗期的疗效。方法改进初治涂阳患者６个月固定化疗期，采用涂片检查并以痰菌转阴后连续３个月阴性为治愈停药标准。结果２９０例涂阳肺结核经２ＳＨＲＺ／ｘＨＲ治疗，６个月时痰菌阴转率９８．３％，２８３例阴转治愈，平均化疗期４．７个月，２年随访率９４．３％，细菌学复发率１．９％。结论采用痰涂片检查，并以痰菌转阴后连续３个月阴性为阴转治愈标准，可将化疗期平均缩至４．７个月，且治愈率高，２年细菌学复发率低，为进一步缩短化疗期进行了有意义的探索。
Objective To evaluate the efficacy of the short-course chemotherapy shorter than six months. Method The 2SHRZ/xHR regimen was used in 290 smear positive new untreated tuberculosis patients. The duration of continuation phase was not fixed, just in accordance with the speed of sputum negative conversion. The treatment was continued until sputum negative conversion mantained for three consecutive months. Result Two hundred eighty-three out of 290 patients were cured. The sputum negative conversion rate at the end of the sixth month was 98.3%. The duration of treatment was 4.7 months on the average. The rate of two-year follow-up was 94.3%, and the rate of bacteriological relapse during two-year follow-up was 1.9%. Conclusion The results showed that the length of the six-month short-course chemotherapy could be shortened, and its recent and long-term efficacy was found satisfactory.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1997年第6期358-360,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
