四川地震灾区结核病56例救治分析

Experience in treatment of 56 tuberculosis cases from Sichuan earthquake-hit areas

目的探讨地震灾区结核病患者的临床特征。方法对56例四川地震灾区结核患者从临床特征、治疗及转归方面进行回顾性分析。结果(1)合并症与并发症中,地震相关伤病(外伤与感染)发生率高,达39.3%;(2)所有患者均有焦虑抑郁情绪;(3)中断治疗率高,达42.3%;(4)56例患者均未转运出川。结论(1)积极处理地震相关伤病,以降低死亡率;重视心理干预,防止发生心理危机;(2)震后应及时加强灾区结防机构的重建,避免中断治疗,有助于防止灾区复治、耐药结核的产生;(3)所有结核病患者均不宜转运出省,防止结核病流行。

Objective To investigate the clinical characteristics of patients tuberculosis from the earthquake-hit areas. Methods The clinical characteristics, treatments and prognosis of 56 tuber- culosis cases from the earthquake-hit areas were analyzed retrospectively. Results There was a high incidence （9.3 %）of injuries（wounds and infections）associated with earthquake in patients with tuberculosis. All patients had anxiety and depression. There was a high therapy interruption rate （42.3%）. None of the patients was transported to other provinces. Conclusion The mortality rate could be reduceded by management of injuries associated with earthquake. We should pay more attention to psychological intervention to avoid psychological Crisis. Strengthening the reconstruc- tion of tuberculosis control and prevention institution and avoiding therapy interruption were helpful to decrease rates of retreatment and drug resistence. To prevent the prevalence of tuberculosis, pa- tients with tuberculosis should not be transported to other provinces.