耐多药住院肺结核病临床分析及防治

The Clinical analyis and preventing and controuing of the Multi-drug resis resistance

目的探讨耐多药结核(MDR-TB)的临床特点,分析其耐药状况,并探索有效的防治对策。方法选择160例耐多药肺结核病人根据耐药情况进行统计学研究与回顾性分析。结果160例痰培养阳性患者经积极治疗后痰菌转阴率、病灶吸收率和空洞闭合率分别达到85.6%、68.3%和55.7%。结论耐多药肺结核病的发生多由不规则治疗所致,对其控制重在预防;加强合理有效的化疗和全程的督导治疗,必要时借助于外科治疗。

Objective To investigate multi-drug resistance(MDR) of tuberculos and to analyze the factors associated with MDR-TB,in order to pro vide the basis for good prevention and curing measures.Methods The curative effect of 160 multi-drug resistant pulmonary tuberculosis patients had been counted and analyze. Results The rates of TB-sputum negative reaction,absorption and cavity healing of the patients reached 85.6%, 68.3%and 55.7%respectively.Conclusion Irregular treatment of tuberculosis patients has been the main cause for the occurrence of drug resistance and mulatidrug resistance in the tuberculosis patients treated as well as the way of surgery.