结核病反弹之分析与对策

Analysis and countermeasures on the rebound of tuberculosis

目的从结核杆菌的致病特点、结核病反弹的现状、传播途径、病程表现入手,找出预防和控制的要点,以便有效控制结核病的蔓延。方法从传染病的三环节两因素开始,用分析流行病学的方法逐次分析,全面搞清该病反弹的真正原因。结果造成结核病反弹的直接原因是结核杆菌的变异、患者没有得到足够时间的有效治疗、缺乏必要的预防知识和条件、艾滋病的流行是一个不可忽视的因素;间接原因是社会动荡和贫穷,自然灾害加速该病的传播。结论结核病的防治首先政府要创造条件,其次患者必须与医务工作者认真配合,紧紧抓住足够时间的有效治疗这个关键,就能取得满意的防治效果。

Objective Analysis the peculiarity of TB bacillus, the TB rebounding situation, its transmitting ways, and the course of disease , in order to find out main points and meaningful channels to control TB spreading. Methods To begin with the three links and two factors of the infectious disease, also with analytical epidemiological method, make it clear that the true reason of TB spreading. Resuits The direct causes are the variation of TB bacillus, lack of enough the treatment period, shortage of prevention knowledge, AIDS epidemic; however, the indirect causes are unstable society, poverty and natural disaster, Conclusion TB controlling is not very. difficult. The necessary investment of government is the first step, make use of current medical resources wisely is very important, especially setting up the three classes＇ network around countryside and city is a vital point. Patient should cooperate with doctors and keep on enough period treatment, then TB can be controlled satisfactorily.