四川省复难治肺结核患者的现状及控制对策

为了解我省复难治肺结核的流行现状 ,为科学决策提供依据。按照统一标准对患者进行临床、X线及实验室检测。共调查研究 3 2 9例病人 ,结果显示 :①以青壮年为主 ,文化程度低 ,病程长 ,病灶广泛空洞多 ,农村高于城市 ;②均经过WHO推荐的初、复治方案治疗 ,耐药占 98% ,多重耐药占 5 4 % ;③L型结核菌检出率占 3 6 3 %。可见应将我省结防工作的重点应放在农村 ,加强对青壮年患者的治疗 ,阻止多重耐药结核病的流行 ,推广L型结核菌的检测方法。

The Current Status and Control Strategy on Multidrug-Resistant Tuberculosis in Sichuan Province

Objective:To provide evidence to the tuberculosis control strategy by the survey of current status of multidrug-resistant pulmonary tuberculosis in Sichuan province.Methods:According to the united standard,conducting the clinical,X-ray and laboratory examination.Results:329 pulmonary tuberculosis patients were surveied ,the morbidity of young and middle-aged people was the highest who had a longer course of disease ,and cavity could be found on focus in a wide range.The morbidity in rural area was higher than that in urban area.The patients were treated by the regimen recommended by WHO.the drug resistant rate was 95%,the multidrug-resistant rate was 54%,the L-type mycobacterium tuberculosis positive rate was 36.3%.Conclusion:We should strengthen the control of tuberculosis in rural area,In order to prevent the multidrug-resistant tuberculosis,we must strengthen the treatment of young and middle-aged patients,and the examination of L-type mycobacterium tuberculosis.