皖北地区复治涂阳肺结核病人形成原因研究

A causal investigation of inducing retreated smear-positive TB in norther area of Anhui province

目的:探讨安徽省皖北地区复治涂阳肺结核病人形成的主要原因,为安徽省制定结核病控制政策提供参考依据。方法:随机抽取188例复治涂阳肺结核病人进行问卷调查。结果:首次确诊时仅有15.4%肺结核病人进行了痰检,92.6%的病人未能使用规范的化疗方案,59.6%的病人未按医嘱坚持治疗,是造成复治病人的主要原因;症状好转自动停药、药物太贵花钱太多是造成肺结核病人未按医嘱坚持治疗的主要原因。结论:提高综合性医疗机构对痰检工作重要性的认识,开展和加强痰检工作,规范化疗方案,加强健康教育,普及结核病方面的知识,减少复治肺结核病人的产生。

ObjectiveDiscuss the master reason of why the retreated smear--positive pulmonary tuberculosis cases who live in northern area of Anhui province turned into retreated ,provide the references when constitute the policies of the tuberculosis prevention and cure; method Sample and investigate 188 retreated smear- positive pulmonary tuberculosis cases by questionnaires; result Only 15.4% pulmonary tuberculosis patients did the sputum examination at the first analysis, 92. 6% cases didn＇t use the normative chemotherapy, and 56. 9% cases didn＇t insist on the therapy ,these were the master reasons for creating retreated patients; withdrawal voluntarily when the symptoms straightened up ,and the expensive medicine were the master reasons for not complying with the doctor＇s advice; conclusionEmphasize the essentiality of the sputum examination to comprehensive medical institutions,commence and enhance the sputum examination,standardize the normative chemotherapy ,intensify health education ,popularize the lores of pulmonary tuberculosis, reduce the number of the retreated smear-positive pulmonary tuberculosis cases.