初治涂阳肺结核病人督导化疗管理模式的研究

目的 探索适合城市流动人口和郊区人口肺结核病人的治疗管理模式。方法在海口市3个区选取初治涂阳肺结核病人，均采用方案2H3K323E3（S3）／4H3R3短程化疗，随机分入家庭督导组（下称家督）和医务督导组（下称医督）进行不住院治疗管理。结果疗程结束时，家督组和医督病组人治愈率为94．44％和90.07％。结论两组管理模式下均取得较好的治疗效果，而家督组管理模式更适用于流动人口和郊区人口。

Study on the managerial models of observatory chemotherapy of initially treated smear positive tuberculosis patients

Objective To explore the managerial model suitable for chemotherapy of tuberculosis patients in urban and suburban populations. Methods Initially treated smear positive tuberculosis patients in three districts of Haikou City were chosen and divided into family observation group and medical observation group all treated with short-course chemotherapy of 2H_3K_3Z_3E_3(S_3)/4H_3R_3 without hospitalization. Results At the end of treatment the cure rates in family observation group and medical observation group were 94.44% and 90.07%. Conclusion Good results have been achieved in the two groups and managerial model of family observation group is more suitable for managements of mobile population and suburban residents.