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复治涂阳肺结核成因及疗效分析
引用本文:霍丽丽,李益荣,张清华,路云青. 复治涂阳肺结核成因及疗效分析[J]. 滨州医学院学报, 2002, 25(3): 180-181
作者姓名:霍丽丽  李益荣  张清华  路云青
作者单位:滨州市结核病防治院,251700;滨州市结核病防治院,251700;滨州市结核病防治院,251700;滨州市结核病防治院,251700
摘    要:目的:分析复治涂阳病例成因,探讨WHO推荐的复治化疗方案及管理方式(DOTS)成效,方法:收集全市1995-1999年完整的复治涂阳病例821例。结果:治疗不规则或未完成疗程者占78.6%,实施复治涂阳方案后,2、3个月末痰苗阴转率分别为83.2%,90%,治愈率达87.5%,结论:造成复治涂阳原因是用药不合理,间断或无规律用药,未完成疗程,采用WHO推荐的8个月短程方案,严格执行DOTS,治疗复治涂阳病人合理有效。

关 键 词:结核    药物疗法
文章编号:1001-9510(2002)03-0180-02
修稿时间:2002-01-12

AN ANALYSIS OF THE CAUSATIVE FACTORS AND THE THERAPEUTIC EFFECT OF WHO RECOMMENDED CHEMOTHERAPY PLAN FOR RETREATMENT ON 821 RETREATED SMEAR-POSITIVE CASES
Huo Lili,Li Yirong,Zhang Qinghua,et al. AN ANALYSIS OF THE CAUSATIVE FACTORS AND THE THERAPEUTIC EFFECT OF WHO RECOMMENDED CHEMOTHERAPY PLAN FOR RETREATMENT ON 821 RETREATED SMEAR-POSITIVE CASES[J]. Journal of Binzhou Medical College, 2002, 25(3): 180-181
Authors:Huo Lili  Li Yirong  Zhang Qinghua  et al
Abstract:Objective:To analyse the curative effect of WHO recommended chemotherapy plan on retreated smear positive cases.Methods:821 cases with retreated smear positive pulmonary tuberculosis were collected during the period 1995-1999 in Binzhou city.Results:78 6% were not regularly treated or did not completed the full course of chemotherapy.By regimen for retreatment of smear positive cases,at the end of 2nd an 3rd months sputum smear negative conversion rates were 83 2% and 90% respectively and cure rate was 87 5%.Conclusion:Retreated smear positive cause is unreasonable treatment.Adopting WHO short course chemotherapy regimen with DOTS implementation is satisfactory in the management of retreated smear positive patients.
Keywords:tuberculosis  pulmonary  drug therapy
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