初治涂阳肺结核患者化疗2个月末痰涂片结果分析
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资料包括： 论文(3页3213字)
说明：
【摘要】 目的 分析探讨盐都区实施结核病控制项目中影响初治涂阳肺结核治疗2个月末痰菌未转阴的因素。方法 对项目实施9年间治管的1820例初治涂阳肺结核，根据化疗2个月末痰检结果分为转阴组与未转阴组，回顾分析比较两组的临床资料。结果 统计学结果显示，转阴组与未转阴组之间的年龄、就诊延误、病灶范围≥3个肺野，肺部合并空洞和（或）慢性阻塞性肺疾病、合并糖尿病、痰涂片≥3+等变量有显著性差异。结论 结核病控制工作需强化健康教育，重视对肺部有合并症、合并糖尿病的治疗。
【关键词】 结核,肺,临床研究
Analysis of the results at the end of second months of treatment for patients with initial smear positive pulmonary tuberculosis
ZHANG Hong-lan，LI Zhi-yong，WAN Chuan-gui，et al.Yandu Center for Disease Control and Prevention，Yancheng 224002，China
【Abstract】 Objective To study the reasons of the smear positive result at the end of 2th months of treatment of new smear positive Tuberculosis Control Project in YanDu.Methods 1820 new smear positive pulmonary tuberculosis patients in the initial stage of the project,were divided into smear negative groups and smear positive groups according to the results of sputum test at the end of 2th months of treatment,and the clinical data of the two groups had been analysed retrospectively.Results The statistics results、showed,patients’ delay,focus scope ≥3 pulmonary field,accompanied with cavities in lungs and chronic obstructive pulmonary disease or with diabetes,sputum smear ≥3+ were significantly different between the negative and the positive groups.Conclusion The health education need to be enhanced for tuberculosis control,and it is important to pay great attention to the patients with cavities in lungs,or with diabetes.
【Key words】 tuberculosis；pulmonary;clinic study
目录：
1 资料与方法
2 结果
3 讨论
参考文献：
1 严碧涯，端木宏谨.结核病学.北京：北京出版社，2003，1458.
2 中华医学会呼吸病学分会.慢性阻塞性肺疾病诊治指南.中华结核病与呼吸杂志，2002，25：453-460.
3 陈灏珠.实用内科学，第11版.北京：人民卫生出版社，2001，513.
4 王陇德.结核病防治.北京：中国协和医科大学出版社，2004，326.
资料包括： 论文(3页3213字)
说明：
【摘要】 目的 分析探讨盐都区实施结核病控制项目中影响初治涂阳肺结核治疗2个月末痰菌未转阴的因素。方法 对项目实施9年间治管的1820例初治涂阳肺结核，根据化疗2个月末痰检结果分为转阴组与未转阴组，回顾分析比较两组的临床资料。结果 统计学结果显示，转阴组与未转阴组之间的年龄、就诊延误、病灶范围≥3个肺野，肺部合并空洞和（或）慢性阻塞性肺疾病、合并糖尿病、痰涂片≥3+等变量有显著性差异。结论 结核病控制工作需强化健康教育，重视对肺部有合并症、合并糖尿病的治疗。
【关键词】 结核,肺,临床研究
Analysis of the results at the end of second months of treatment for patients with initial smear positive pulmonary tuberculosis
ZHANG Hong-lan，LI Zhi-yong，WAN Chuan-gui，et al.Yandu Center for Disease Control and Prevention，Yancheng 224002，China
【Abstract】 Objective To study the reasons of the smear positive result at the end of 2th months of treatment of new smear positive Tuberculosis Control Project in YanDu.Methods 1820 new smear positive pulmonary tuberculosis patients in the initial stage of the project,were divided into smear negative groups and smear positive groups according to the results of sputum test at the end of 2th months of treatment,and the clinical data of the two groups had been analysed retrospectively.Results The statistics results、showed,patients’ delay,focus scope ≥3 pulmonary field,accompanied with cavities in lungs and chronic obstructive pulmonary disease or with diabetes,sputum smear ≥3+ were significantly different between the negative and the positive groups.Conclusion The health education need to be enhanced for tuberculosis control,and it is important to pay great attention to the patients with cavities in lungs,or with diabetes.
【Key words】 tuberculosis；pulmonary;clinic study
目录：
1 资料与方法
2 结果
3 讨论
参考文献：
1 严碧涯，端木宏谨.结核病学.北京：北京出版社，2003，1458.
2 中华医学会呼吸病学分会.慢性阻塞性肺疾病诊治指南.中华结核病与呼吸杂志，2002，25：453-460.
3 陈灏珠.实用内科学，第11版.北京：人民卫生出版社，2001，513.
4 王陇德.结核病防治.北京：中国协和医科大学出版社，2004，326.