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目的:分析结核病控制项目管理期间影响肺结核病治疗效果的因素,探索提高病人治愈率的方法与对策,使结核病控制项目得到更有效地实施。方法:采用病例对照研究方法分析2002-2008年管理涂阳肺结核病人治疗管理信息。结果:涂阳肺结核人治愈率为72.90%,其中初治病人治愈率76.86%,复治病人治愈率49.35%。结论:病人死亡及丢失、管理无系统性、毒副反应以及患者产生耐药性是影响肺结核病人治疗效果的主要因素。
OBJECTIVE: To analyze the factors influencing the effect of TB treatment during TB control project management and to explore ways and measures to improve the cure rate of TB patients so that the TB control project can be implemented more effectively. Methods: Case-control study was used to analyze the management information of smear-positive pulmonary tuberculosis patients from 2002 to 2008. Results: The cure rate of smear positive pulmonary tuberculosis was 72.90%, of which the cure rate of initial treatment was 76.86% and the cure rate of rehospitalization was 49.35%. Conclusions: Death and loss of patients, non-systematic management, side effects and drug resistance of patients are the main factors affecting the treatment effect of pulmonary tuberculosis patients.