65例住院军人肺结核患者复治原因分析与对策

发布时间：2018-11-06 10:38

【摘要】：目的 :分析部队肺结核患者复治原因并拟定对策。方法 :对 1993年～ 1998年在某院二次以上住院治疗的 6 5例军人肺结核患者统计分析其复治原因。结果 :6 5例中真正需要复治的病人 37例 ,占二次住院病人的 56 .9%。在 37例中因服药不规律或劳累所致 32例 ,占复治病例的 86 .5%。其复治原因有 :抗痨治疗不正规或不及时 ;抗痨治疗过程中病情恶化 ;抗痨治疗结束后病灶未吸收等。为降低复治病例可采取如下措施 :(1)加强宣传教育 ,提高对肺结核病的认识 ;(2 )设立专门机构 ,指导部队结核病防治工作 ;(3)制定合理的化疗方案 ,控制传染源的传播 ;(4 )坚持肺结核病的登记管理制度 ,克服重治轻防倾向 ;(5)保证药物供应 ,保证患者得到全程治疗。结论 :针对肺结核复治原因得出的措施是可行的 ,采取这些措施可有效地降低复治病例。
[Abstract]:Objective: to analyze the causes of retreatment of pulmonary tuberculosis patients in the army and to draw up countermeasures. Methods: from 1993 to 1998, 65 military pulmonary tuberculosis patients who had been hospitalized for more than two times from 1993 to 1998 were analyzed statistically. Results: among the 65 cases, 37 cases (56. 9%) were in real need of re-treatment. Of the 37 cases, 32 cases were caused by irregular or overworked medication, accounting for 86. 5% of the recurrent cases. The causes of relapse are as follows: antituberculosis treatment is irregular or not timely; antituberculosis treatment process is worsening; antituberculosis treatment is not absorbed after the end of treatment. The following measures can be taken in order to reduce the number of relapsed cases: (1) to strengthen publicity and education and to raise awareness of tuberculosis; (2) to set up a special unit to guide the prevention and control of tuberculosis in the army; (3) to make reasonable chemotherapy scheme to control the spread of infection source; (4) to adhere to the registration management system of tuberculosis, to overcome the tendency of heavy treatment and light prevention; (5) to ensure the supply of drugs and ensure the patients get the whole course of treatment. Conclusion: it is feasible to measure the causes of relapse of pulmonary tuberculosis, and these measures can effectively reduce the cases of relapse.
【作者单位】：解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006 解放军第三十一医院!陕西宝鸡 721006
【分类号】：R825.2

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