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作 者:李耀英[1] 任利平[1] 莎仁高娃[1] 郎胜利[1]
机构地区:[1]内蒙古自治区结核病防治研究所,内蒙古呼和浩特010010
出 处:《预防医学论坛》2007年第10期889-891,共3页Preventive Medicine Tribune
摘 要:[目的]研究内蒙古自治区实施世行结核病控制项目前后肺结核病人在管理和化疗方面的效果。[方法]分析比较项目实施前后涂阳肺结核病人在管理和治疗第2个月末的痰菌阴转情况。[结果]项目实施前(1998~2001年),涂阳肺结核病人以自服药的模式为主;项目实施后(2002~2005年),对病人采取统一的化疗方案和全程督导的模式管理。项目实施后,治疗第2月末痰菌阴转率初治病人由77.22%提高到86.09%,复治病人由65.45%提高到75.70%(P〈0.01)。[结论]世行结核病控制项目的管理模式和用药方案疗效确切。[Objective]To Study the effect of the management and chemotherapy for tuberculosis patients before and after the implementation of World Bank Tuberculosis Control Project in Inner Mongolia. [Methods]Sputum bacteria negative conversion in smear-positive patients at the end of second months after the treatment before and after the project implementation was analyzed and compared. [Results]Before the project implementation(1998-2001 );the patients took drugs mainly by themselves. After the project implementation(2002-2005) ,the new method of chemotherapy and DOT treatment for TB patients was adopted. The proportion of sputum bacteria negative conversion at the end of the second months in initial treatment TB patients increased from 77.22% to 86.09% ,it increased from 65.45% to 75.70% ( P 〈0.01) in retreated patients. [Conclusion]The mode of management and chemotherapy of World Bank Tuberculosis Control Project is effective.
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