重点初治涂阳肺结核病人规范管理方法探讨

目的:探索适合重点初治涂阳肺结核病人的管理方式。方法:选取本市区初治涂阳肺结核病人,对重点初治涂阳病人实行规范管理,本文又称规范管理组,其余实施全程督导,本文称全程督导组,两组均采用初治涂阳肺结核病人短程化疗方案(2HRZE/4H3R3),并采用扳式组合药,观察两种管理方式下病人的疗效及中断治疗情况。结果:规范管理组和全程督导组二个月痰菌阴转率分别为97.8%和97.4%,疗程结束治愈率分别为95.6%和96.6%,断药率分别为0.3%和0.19%,均无显著性差异(P>0.05)。结论:家庭督导式规范管理可获得与以医生为主体的全程督导同样的效果。

A study of a case- management method for special new smear positive pulmonary tuberculosis cases

Objective: To seek an effective case-management.Methods: To be used in special new smear-positive pulmonary tuberculosis cases.To select new smear-positive pulmonary tuberculosis cases in Shang Qiu city,the case management method for special new smear-positive pulmonary tuberculosis cases was standardized family administrative treatment,Directly observed treatment has been done for the other case,All of selected patients were treatment with initial smear positive short course regiment 2HRZE/4H-3R-3,and observed the outcomes and the situation of interrupted treatment under two different case-management methods.Results: By the end of treatment.the sputum conversion rate of the patient under standardized family administrative treatment and directly observed treatment was 97.8%t and 97.4% respectively,and cure rate was 95.6% and 96.6% respectively and the interrupted treatment rate was 0.3%and 0.19% respectively.There was no significantly difference in them(P>(0.05).)Conclusion: The same effectiveness can be gained between standardized family administrative treatment and directly observed treatment.