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3AHPZVTh/9PaVTh治疗初治失败肺结核近期疗效分析
引用本文:吴俊杰,陈志华,郑强,陈银松,赵俊,王金富,王爱萍,朱道建,沈培之. 3AHPZVTh/9PaVTh治疗初治失败肺结核近期疗效分析[J]. 临床肺科杂志, 2011, 16(9): 1397-1398
作者姓名:吴俊杰  陈志华  郑强  陈银松  赵俊  王金富  王爱萍  朱道建  沈培之
作者单位:1. 扬州,扬州市第三人民医院,江苏,225000
2. 扬州,扬州市疾病预防控制中心,江苏,225000
基金项目:江苏省卫生厅预防医学科研课题基金资助,课题编号Y2006008
摘    要:目的探讨扬州市初治失败肺结核的耐药情况,寻求治疗初治失败肺结核的合理有效的方法。方法 60例初治失败肺结核患者随机分为两组,治疗组采用3AHPZVTh/9PaVTh方案治疗,对照组采用标准复治涂阳2H3R3Z3E3/4H3R3方案治疗,并对所有60例患者作结核菌药物敏感试验。结果扬州市初治失败肺结核耐药率81.7%,耐多药率23.3%,两组方案满疗程后痰菌阴转率分别为86.2%、63.3%,有显著性差异(P〈0.05)。胸部影像学病灶吸收好转率分别为93.1%、80.0%,治疗组也优于对照组。结论 3AHPZVTh/9PaVTh方案治疗初治失败肺结核,疗效肯定,有推广价值。

关 键 词:结核,肺  初治失败  耐药  疗效

Analysis of therapeutic effect of 3AHPZVTh/9PaVTh on the smear-positive pulmonary tuberculosis cases failed in the first treatment
WU Jun-jie,CHEN Zhi-hua,ZHENG Qiang,CHEN Yin-song,ZHAO Jun,WANG Jin-fu,WANG Ai-ping,ZHU Dao-jian,SHEN Pei-zhi. Analysis of therapeutic effect of 3AHPZVTh/9PaVTh on the smear-positive pulmonary tuberculosis cases failed in the first treatment[J]. Journal of Clinical Pulmonary Medicine, 2011, 16(9): 1397-1398
Authors:WU Jun-jie  CHEN Zhi-hua  ZHENG Qiang  CHEN Yin-song  ZHAO Jun  WANG Jin-fu  WANG Ai-ping  ZHU Dao-jian  SHEN Pei-zhi
Affiliation:WU Jun-jie1,CHEN Zhi-hua2,ZHENG Qiang1,CHEN Yin-song1,ZHAO Jun1,WANG Jin-fu1,WANG Ai-ping1,ZHU Dao-jian2,SHEN Pei-zhi2.1.Yangzhou Third People's Hospitai,Yangzhou City,Jingsu Province 225000,China,2.Yangzahou Center for Disease Control and Prevention
Abstract:Objective To investigate the resistance on the smear-positive pulmonary tuberculosis cases failed in the first treatment and to explore the effective measures on it.Methods 60 cases of pulmonary tuberculosis failed in the first treatment were selected and divided randomly in trial group that treated by 3AHPZVTh/9PaVTh and control group that treated by 2H3R3Z3E3/4H3R3 respectively.All of them took tuberculosis mycobacterium drug-sensitive test.Results The rates of initial resistance and multiple-drug resista...
Keywords:Tuberculosis  pulmonary  Failure after the initial treatment  Drug resistance  Treatment outcomes  
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