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边远山区肺结核病人管理模式研究 被引量:1

STUDY ON CASE MANAGEMENT METHODS FOR PULMONARY TUBERCULOSIS CASES IN REMOTE AND MOUNTAINS VILLAGES
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摘要 [目的]探索一种适合我省广大农村,特别是边远山区行之有效的肺结核病人管理方式。[方法]在20个县随机选取初治涂阳肺结核病人,采取综合管理方式,病人应用初治涂阳短程化疗方案(2H3R3Z3E3(S3)/4H3R3)进行治疗。观察综合管理方式下病人的治疗效果。[结果]疗程结束时,病人痰菌阴转率为97.1%,其中山区及距县城20km以上病人痰菌阴转率分别为95.8%和96.1%。[结论]边远山区肺结核病人采取综合管理方式可获得与全程督导同样的治疗效果。 [Objective]To seek an effective case-management mode,which is suitable for TB patients in remote and mountains villages in Hebei Province.[Methods]New smear-positive pulmonary TB cases in 20 counties were selected randomly.All selected patients were treated with initial smear-positive short-course chemotherapy program(2H3R3Z3E3(S3)/4H3R3)combined with general management mode,and the therapeutic effects were observed.[Results]At the end of treatment,the total sputum negative conversion rate of the patients was 97.1%.And the sputum negative conversion rate of patients in mountain area and in area more than 20 km away from the county were 95.8% and 96.1%,respectively.[Conclusions]The effectiveness of general management treatment for TB patients in remote and mountains villages are equal to the effectiveness of whole-course supervision.
出处 《现代预防医学》 CAS 北大核心 2007年第22期4350-4351,共2页 Modern Preventive Medicine
关键词 结核 肺/预防与控制 边远山区 综合管理 Tuberculosis Pulmonary/prevention and control Remote and mountains villages General management
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