137例复治肺结核情况分析

Analysis of the Treatment for 137 Relapsing TB Cases

[目的]分析复治肺结核的原因，为今后制定防治策略提供依据。[方法]对1999～2006年武平县卫生防疫站结防门诊治疗的复治肺结核137例进行回顾性分析。[结果]1999～2006年武平县卫生防疫站结防门诊治疗共复治肺结核137例。其中，男性82例，女性55例；年龄27-79岁；初治在乡镇卫生院及个体诊所69例，占50．4％；不规律用药95例，占69．3％；化疗方案不合理62例，占45．3％；药物副作用及药物耐受性差29例，占30．5％；137例均为Ⅲ型结核，有合并症99例。[结论]只有实施DOTS策略，实行规范化疗，才能减少复治发生，提高肺结核治愈率。

[Objective]To analyze the causes of relapsing tuberculosis in patients, provide scientific basis for prevention and control. [Methods]Retrospective analysis was conducted for 137 relapsing TB patients treated in the clinic of Wuping Anti-epidemic Station from 1999 to 2006. [Results]137 relapsing TB patients were treated in the clinic of Wuping Anti-epidemic Station from 1999 to 2006. Of them 82 were male and 55 were female aged from 27 to 79.69 patients were initially treated in town or private clinics ,accounting for 50.4 %. Irregular treated with medicines accounted for 69.3 % （95）. 62 were treated with improper chemical therapy, accounting for 45.3 %. 29 patients had side effect of drug and bad drug tolerance ,accounting for 30.5 %. All the 137 patients were had TB of Ⅲ and 99 had complications. [Conclusion]Only DOTS policy and standard chemical therapy be adopted,can relapsing TB be reduced and the cure rate be improved.