住院复治肺结核病人临床观察分析  

Clinical Observation of TB Relapse Inpatient

作　　者：吕莉萍[1] 刘刚[1] 

机构地区：[1]安徽省肺科医院,安徽合肥230022

出　　处：《安徽预防医学杂志》2005年第3期147-148,共2页Anhui Journal of Preventive Medicine

摘　　要：目的研究复治肺结核病的成因，为完善肺结核病的防治对策、制订防治措施提供依据。方法对728例住院复治肺结核病例临床资料进行统计与分析。结果728例住院复治肺结核病例，占同期住院初、复治肺结核总数的43．6％；年龄分布主要在30—49岁，占40．9％(298／728)；职业以农民为主，占46．6％(339/728)；涂阳363例(49．9％)，其中耐多药226例(占总数的31．0％)；治疗后好转631例(86．7％)，恶化12例(1．6％)，死亡13例(1．8％)，自动出院72例(9．9％)。结论控制复治肺结核病，应加强初治涂阳病人的发现工作、关注青壮年患者的防治、高度重视复治耐多药患者的治疗。Objective To explore the relapse cause of tuberculosis cases. Methods Clinical data of 728 TB relapse inpatients were analyzed. Results The TB relapse inpatients accounted for 43.6% of total TB inpatients at the same time (728/1668). 298 TB relapse inpatients were in 30~40 age group, accounted for 40.9%. 339 cases were farmers, accounted for 46.6%. 363 cases were sputum smear positive, accounted for 49.9%. 226 cases were MDR-TB, accounted for 31.0%. 631 cases became better after treatment, accounted for 86.7%. 12 cases became worse, accounted for 1.6%. 13 cases were dead, accounted for 1.3%. 72 cases left the hospital by themselves, accounted for 9.9%. Conclusions Discovery of initial smear positive TB cases should be enhanced in order to control TB relapse cases. Treatment of TB cases aged 15~50 should be paid attention to. Treatment of TB cases with multi-drug resistance should be attached great importance.

关 键 词：复治 肺结核 临床观察 

分 类 号：R521[医药卫生—内科学]