166例住院复治涂阳肺结核社会经济学状况调查

目的了解住院复治涂阳肺结核患者的社会经济学状况,为防止慢性传染源产生,促进结核病控制规划实施提供参考意见。方法对2006年1—9月间收治入院的复治涂阳肺结核患者做问卷调查分析。结果(1)无收入或低收入者占79.5%(132/166);(2)自费治疗者占79.5%(132/166);;(3)60.2%(100/166)患者觉得就医不便;(4)疗程中未见到医生来访者占85.5%(142/166);(5)有中断用药史者占43.9%(73/166),用药时间不足1个疗程者占25.9%(43/166),停药时间在2周以上者占80.8%(59/73);(6)27.1%(45/166)患者未接受过任何结核病健康知识教育;(7)耐药检测结果:耐H者占69.6%(80/115),耐R者占61.7%(71/115),同时耐HR者占47.8%(55/115)。结论应重视涂阳肺结核患者的治疗、管理工作,提高管理质量,加强对菌阳患者的耐药监测。

Socio-economic study on 166 retreated smear-positive patients with pulmonary tuberculosis

Objective To realize the socio-economic situation of retreated smear-positive patients with pulmonary tuberculosis to revise drug-resistant tuberculosis control strategies and policy of the tuberculosis control program as well as to improve tuberculosis control services.Methods The retreated smear-positive inpatients with pulmonary tuberculosis were surveyed by questionnaire during Jan.to Sept.,2006.Results(1) The economic situation of the retreated smear-positive inpatients with pulmonary tuberculosis was rather poor.The annual average income per family member for 79.5% cases was lower than that of the local family member.(2) Only 20.5% of the cases investigated were covered by various kinds of medical insurances.(3) The local clinic was too far for 60.2% cases.(4) 85.5% patients had not been followed up during the therapeutic course.(5) 43.9% patients were on intermittent treatment.(6) 27.1% patients had not received any health education on tuberculosis.(7)The rates of resistance to INH was 69.6%,to RFP was 61.7%,to INH and RFP was 47.8%.Conclusion It is important to establish surveillance of drug resistance for smear-positive cases.The government should put high attention on treatment and management of smear-positive patients with pulmonary tuberculosis,improve the quality of tuberculosis control.