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目的寻找适合武鸣县的肺结核病人治疗督导管理模式,提高肺结核病人规则治疗率和治疗成功率。方法在家庭配合督导的基础上,对农村地区肺结核病人执行以“乡镇卫生院督导管理为主,乡村医生为辅,病人定期到卫生院取药与督导相结合”的督导管理模式。结果全县活动性肺结核病人规则治疗率比上年提高了6.31%、,新涂阳病人治愈率继续保持85%以上,新涂阴肺结核病人治疗完成率比上年分别提高了7.07%。结论实施“病人定期到卫生院取药与督导相结合”督导管理模式,能提高病人治疗的依从性,及时发现和处理病人药物副反应,防止病人中断治疗,提高督导工作质量和工作效率,降低督导成本。
Objective To find suitable management and management mode of tuberculosis patients in Wuming County and to improve the regular treatment rate and success rate of treatment for tuberculosis patients. Methods On the basis of family co-ordination supervision, the superintendency management mode of tuberculosis patients in rural areas is “supervising management of township hospitals, supplemented by rural doctors, and the patients regularly take medicine and supervision from hospitals”. Results The regular treatment rate of active tuberculosis patients in the county increased by 6.31% over the previous year, the cure rate of new smear positive patients continued to exceed 85%, and the completion rate of new smear negative pulmonary tuberculosis patients increased by 7.07% over the previous year respectively. Conclusion The implementation of the “regular combination of patient taking medicine and supervision in hospitals” can improve the compliance of patients ’treatment, find out and handle patients’ side reactions in time, prevent patients from discontinuing treatment, improve the quality of supervision and work efficiency , Reduce supervision costs.