中断治疗肺结核患者追踪工作的探讨

Interrupt for the treatment of TB track work

目的近几年,难治性肺结核、耐药肺结核发病率呈上升趋势,难治性肺结核、耐药肺结核治愈率低,死亡率高,引起大家的广泛关注。难治性、耐药肺结核发病率的上升与部分肺结核患者不正规治疗有关,有的肺结核患者在治疗过程中,因某种原因如不耐受抗痨药物的副作用、经济困难等发生中断治疗,他们可能转为难治性、耐药肺结核患者,其对周围人的传染性更大、更隐蔽等。方法为阻止这些不良后果,我们县、乡、村三级医生对此类患者开展了追踪工作。结果采取首诊医生电话督导中断治疗肺患者及时复查、取药,医生下乡进行结核病现场督导、乡、村医生上门追踪等方式,让其完成抗痨治疗,减少其转成难治性、耐药结核患者的可能。结论对肺结核患者中断治疗的原因进行了分析,提出对现代结核病化疗策略中追踪工作的一些思考。

Objective In recent years,the incidence of refractory pulmonary tuberculosis,drug resistant tuberculosis is on the rise,refractory pulmonary tuberculosis,drug resistant tuberculosis low cure rate,high mortality,cause everyone＇s attention. Refractory,drug-resistant tuberculosis morbidity of tuberculosis patients and some irregular treatment,some patients with pulmonary tuberculosis in the process of treatment,because of some reasons such as intolerance,the side effects of chemotherapy drugs interrupted treatment such as financial difficulties,they may become intractable tuberculosis patients, drug resistant pulmonary tuberculosis patients,for more contagious to people around,more subtle,etc. Methods To prevent the adverse consequences,our county,township and village level three patients was carried out on such a track work. Results Take the first doctor aclls interrupt the treatment of pulmonary patients timely supervisory review,medicine,doctors.home track and so on,to allow completion of anti-tuberculosis treatment,reducing its turn into intractable resistance,TB patients as possible. Conclusion Interruption of treatment for tuberculosis pationts were analyzed the reasons put forward for modern TB chemotherapy strategy to track the word of some of the thinking.