文档介绍：家庭成员督导治疗新涂阳肺结核患者效果分析
【摘要】目的加强对涂阳肺结核患者的治疗管理,缩短,
患者的排菌期,提高2月末痰菌转阴率及疗末治愈率,为现代结核病控制策略提供新的治疗管理模式。方法自2006年6月至2007年6月选取新发涂阳肺结核患者100例,均采用2HRZE/4HR方案治疗,按随机数字表法分为村医督导组、家庭成员督导组,每组50例。在2月末、6月末进行痰涂片、X光胸片检查,观察治疗效果。结果村医督导组2月末痰菌阴性45例,痰菌阳性4例,迁出1例,痰菌阴转率90%;6月末痰菌阴性49例,中断治疗1例,疗末治愈率98%。家庭成员督导组2月末痰菌阴性44例,痰菌阳性4例,迁出2例,痰菌阴转率88%;6月末痰菌阴性47例,中断治疗3例,疗末治愈率94%。家庭成员督导组和村医督导组进行比较无统计学差别(ⅹ2=,ⅹ(1)=,P>),认为两组的疗末治疗效果无明显差别。结论家庭成员督导治疗管理的新涂阳肺结核患者治愈率大于90%,是一种适宜贫困山区肺结核患者的督导治疗管理模式。
【关键词】肺结核涂阳家庭成员督导治疗
【Abstract】Objective Strengthen the management of patients with smear-positive pulmonary tuberculosis, reduce the mycobacterium period of patients, and increase the recovery rate at the end of treatment,in order to provide a new treat management for modern tuberculosis control strategy。 Methods Select 100 cases of new smear-positive tuberculosis patients since June 2006 to June 2007,which were treated with 2HRZE/4HR,and randomly divided into group of village doctor and family members supervision, then observe treatment eff
ect with Sputum smear and X-ray examination in the second and sixth month。Results 45 cases are sputum negative in the group of village doctor supervision,and 4 are still positive,so the sputum conversion rates is 90% in the second month。And in the sixth month,the cure rate is 98%。parison,the two rate were 88% and 94% in the supervision of family members. Therefore, there is no statis