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目的对250例涂阳肺结核患者分别采用医务人员电话督导管理与家庭成员督导管理下抗结核治疗的效果,进行观察分析、探讨。方法2008-2009年仙居县疾控中心结核病门诊诊断、治疗管理的涂阳肺结核病例250例,分别采用医务人员电话督导管理、家庭成员督导管理下常规抗结核治疗、观察。结果医务人员电话督导管理与家庭成员督导管理的观察结果:治疗2个月后痰菌转阴、3个月痰菌转阴、初治涂阳治愈数均有显著性差异,分别为χ2=16.69,P<0.01;χ2=19.96,P<0.01;χ2=15.77,P<0.01,具有统计学意义。结论医务人员电话督导管理好于家庭成员督导管理,且可行、方便、及时、有效、价廉。
Objective To investigate the effect of anti-TB treatment on 250 cases of smear-positive pulmonary tuberculosis patients under the supervision of medical staff and the supervision of family members. Methods 250 cases of smear positive pulmonary tuberculosis diagnosed and managed in 2008 and 2009 in Xianju Center for Disease Control and Prevention were treated with telephone supervision and management by medical staff and routine antituberculosis treatment and observation under the supervision of family members. Results Medical staff telephone supervision management and family member supervision and management of observation results: 2 months after treatment sputum negative, 3 months of sputum negative conversion, the number of initial cure smear were significant differences were χ2 = 16.69 , P <0.01; χ2 = 19.96, P <0.01; χ2 = 15.77, P <0.01, with statistical significance. Conclusion Medical staff telephone supervision and management is better than family members supervision and management, and feasible, convenient, timely, effective, inexpensive.