352例复治涂阳肺结核患者治疗效果分析

352 Cases of Retreatment Smear Positive Pulmonary Tuberculosis

目的了解复治涂阳肺结核患者治疗现状及效果。方法对2005-2009年盐都区登记治疗的复治涂阳患者进行分析。结果 352例,以中老年居多,占67%。使用标化复治方案314例,占89.2%,2～3月末痰菌转阴率88.2%、91.7%,平均治愈率为86.9%。使用非标化方案38例,占10.8%,原因为耐药、药物不良反应、伴有合并症、并发症等。结论造成复治涂阳原因是用药不合理、间断或无规律用药。

Objective To understand retreatment smear positive pulmonary tuberculosis treatment and effect.Methods Analyzed 352 retreatment smear positive cases registered during 2005 to 2009.Results Among the total 352 cases,middle-aged patients account for 67%.314 cases adopted standardized regimen,accounting for 89.2%.Of those,at the end of the 2nd and 3rd month after starting treatment,the rate of sputum positive-turned-negative were 88.2% and 91.7%,respectively.Average cure rate was 86.9%.38 cases adopted nonstandard regimen,accounting for 10.8%.Reasons for nonstandard regimen are drug resistance,adverse drug reaction,or other complications.Conclusion The causes for retreated smear positive TB cases were improper use of medication and irregular use of treatment.