戴丽华, 黄文华. 福建省莆田市荔城区新发涂阳肺结核患者强化期末痰涂片结果分析[J]. 疾病监测, 2011, 26(12): 949-951.
引用本文: 戴丽华, 黄文华. 福建省莆田市荔城区新发涂阳肺结核患者强化期末痰涂片结果分析[J]. 疾病监测, 2011, 26(12): 949-951.
DAI Li-hua, HUANG Wen-hua. Smear detection results for new smear positive pulmonary tuberculosis patients at end of intensive treatment in Licheng district in Putian municipality, Fujian province[J]. Disease Surveillance, 2011, 26(12): 949-951.
Citation: DAI Li-hua, HUANG Wen-hua. Smear detection results for new smear positive pulmonary tuberculosis patients at end of intensive treatment in Licheng district in Putian municipality, Fujian province[J]. Disease Surveillance, 2011, 26(12): 949-951.

福建省莆田市荔城区新发涂阳肺结核患者强化期末痰涂片结果分析

Smear detection results for new smear positive pulmonary tuberculosis patients at end of intensive treatment in Licheng district in Putian municipality, Fujian province

  • 摘要: 目的 探讨影响涂阳肺结核患者强化期末痰菌涂片阴转率的因素。 方法 对2002-2007年1227例初治涂阳肺结核患者实施短程督导化疗策略,并于强化期末对痰标本做痰菌涂片检查,对菌量、肺部病变累及范围等进行分析。 结果 患者初诊痰涂片菌量、肺部病变累及范围、有无空洞存在、合并糖尿病、强化期服药次数以及患者转归情况等差异均有统计学意义(P0.05)。 结论 应加强归口管理,积极发现肺结核患者和疑似肺结核患者,减少就诊时间。

     

    Abstract: Objective To explore the influential factors to sputum smear negative conversion rate among new smear-positive pulmonary tuberculosis (TB) patients at the end of intensive treatment. Methods Directly observed treatment strategy (DOTS) was applied in 1227 new smear-positive pulmonary TB patients, and 2 sputum specimens were collected from them at the end of the treatment for smear detection, the bacteria amount and the involved area in lung disease were analyzed. Results The differences on bacteria amount in sputum smear, the involved area in lung, finding of cavity in lung, prevalence of complicated diabetes, time of drug administration and the patients' outcome were all statistically significant (P0.05). Conclusion It is necessary to strengthen the centralized management of TB to find TB or suspected TB cases actively and conduct early treatment.

     

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