天全县结核杆菌涂痰阳性者干预效果研究.docVIP

天全县结核杆菌涂痰阳性者干预效果研究[摘要]目的：对天全县结核杆菌涂痰阳性者规范化管理结果进行评估。方法：对2006至2009年度参加结核病规范化管理和随访的对象（天全县结核杆菌涂痰阳性者）进行规范化管理，包括生活方式干预及药物治疗的干预，比较各年份患者的服药情况，痰涂片转阴情况、两年内复发情况及，全程化疗情况。结果：调查结果显示，天全县结核杆菌涂痰阳性者服药情况得到明显改善，痰涂片转阴率明显增加，全程化疗率明显增加，两年内复发率明显降低。结论：开展结核病规范化管理是非常必要的，涂痰片阳性患者筛查及面对面健康教育和用药指导，可以促进涂痰阳性者服药的规律性增加，痰涂片转阴率提高，复发率降低，全程化疗率增加，对提高结核病控制率有现实意义，具有推广性。 [关键词]结核痰涂片阳性者；结核病规范化管理 [Abstract]Objective: To assess the results of standardized management of sputum-positive tuberculosis in Tianquan County to. Method: do standardized management for the patients (Tianquan County sputum-positive TB) from 2006 to 2009, including lifestyle interventions and drug treatment intervention, comparing the patient?s medication situation of every year, the rate of sputum turn negative, and rate of recurrence within two years, the situation of whole range chemotherapy. Results: The survey result display that the medication treatment of sputum-positive tuberculosis was significantly improved in Tianquan County, the rate of sputum smear turning negative increased, the rate of whole range chemotherapy increased significantly, the recurrence rate within two years significantly reduced. Conclusion: to carry out the standardized management of TB is necessary, the screening of sputum-positive patients and face to face health education and medication guide, can promote regularity of medication treatment, increase the rate of sputum smear turning negative, reduced the relapse rate, increase the rate of whole range chemotherapy, which has practical significance for the improving of TB control rate, should be extended. [ Key words]tuberculosis sputum smear positive tuberculosis; standardized management 结核仍是目前严重危害人类健康的主要传染病，也是我国重点控制的主要传染性疾病之一，是全球关注的公共卫生和社会问题。随着我国经济水平的发展以及公共卫生事业的不断进步，我国开展了对肺结核病患者提供免费检查和治疗，使肺结核的死亡率明显下降，但由于人口流动加快［1］，人口老龄化加剧［2］，结核病的疫情在某些地区也明显回升［3］。由于结核病治疗时间长，以及耐药菌增加［4］，给结核病的治疗和预防带来了很大的困难。只有认真作好治疗、管理、预防和检查的各个环节，从控制传染源、切断传染途径和增强免疫力、降低易感性等几个方面着手。才能有效的控制结核病的蔓延。对痰涂片阳性者进行规范化管理，督导化疗，并对周围接触者进行检查能有效切断传播途径，减少不规律服药造