结核病管理策略对复治原因的影响研究  

Study on causes that result in retreatment in different tuberculosis management area

作　　者：万利亚[1] 武桂英[2] 龚幼龙[2] 赵丰曾[3] 

机构地区：[1]卫生部疾病控制司,北京100044 [2]复旦大学公共卫生学院,上海200032 [3]中国疾病预防控制中心,北京100050

出　　处：《中国防痨杂志》2003年第6期347-350,共4页Chinese Journal of Antituberculosis

摘　　要：目的　研究结核病不同管理策略对造成结核病复发原因的影响。方法　使用调查表方法 ,对结核病复治病人进行入户调查。结果　 1 993— 1 997年结核病三类不同管理策略地区结核病复发人数总体呈下降趋势 ,但是ITP地区逐年下降幅度大 ,NTP和CTT地区下降幅度平缓。造成复发的原因主要是“未按医嘱坚持治疗”、“用药不合理”与“治疗不正规”,CTT地区结核病复发的最主要原因是“未按医嘱坚持治疗”人数达 70 %。结论　加强对初治TB病例规范治疗 。Objective To study the impact factors that resul t in retreatment of different management area.Methods Re-treatment TB patients had been investigated by face to face interview survey with questionnaire.Result Re-treatment cases had dropped from 1993 to 1997.The re gions used ITP(World Bank Loaned Project,described as international tuberculosi s program,ITP) had greatly declined, but the regions used NTP (national tubercu losis program, NTP) and CTT(convention tuberculosis therapy,CTT)had gently dr opped. The reasons of re-treatment were the p atients who did not insist on treatment, or did not approprite treamtnet regimen used,or irregularly treated. The main reason was incomplete treatment that occ upied 70% of the total retreament cases in CTT area.Conclusion We should strengthen treatment management for new sm ear positive tuberculosis patients to reduce occurrence of re-treatment TB pati ents.

关 键 词：结核病 管理策略 复治原因 影响 治疗 

分 类 号：R52[医药卫生—内科学]