论文部分内容阅读
痰菌涂片阳性初治肺结核病患者110例,用3SHRZ+4BCG方案治疗;另42例用2SHRZ/4HR方案治疗作对照.在治疗中,BCG接种未见异常反应,血、尿常规、肝功能等无异常;疗程结束时,X线胸片病变吸收≥1/3者占97.27%(其中≥1/2者为≥67.27%),空洞直径缩小≥1/2占93.88%(其中关闭79.59%),痰菌阴转率97.27%,和对照组比较均无明显差异P>0.05);疗程结束后24个月痰菌复阳率(3.74%)和对照组比较,亦无明显差异(P>0.05)。所以3SHRZ+4BCG方案与2SHRZ/4HR疗效近似,而疗程缩短一半,药物、费用各节约近1/3。
110 cases of sputum smear-positive patients with newly diagnosed pulmonary tuberculosis were treated with 3SHRZ + 4BCG regimen and 42 cases were treated with 2SHRZ / 4HR regimen as control. In the treatment, BCG inoculation showed no abnormal reaction, blood, urine routine, liver function and other abnormalities; at the end of the treatment, the X-ray lesions ≥1 / 3 accounted for 97.27% (of which ≥1 / 2 were ≥67.27%), the hole diameter reduced to1 / 2 accounted for 93.88% (of which closed79.59%), the sputum negative conversion rate was97.27%, no significant difference compared with the control group (P> 0). 05). There was no significant difference (P> 0.05) between the sputum bacterium positive rate (3.74%) and the control group 24 months after the end of treatment. So 3SHRZ +4 BCG program and 2SHRZ / 4HR similar efficacy, while the treatment is shortened by half, drugs, cost savings of nearly 1/3.