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目的 研究复治肺结核病的成因,为完善肺结核病的防治对策、制订防治措施提供依据。方法 对728例住院复治肺结核病例临床资料进行统计与分析。结果 728例住院复治肺结核病例,占同期住院初、复治肺结核总数的43. 6%;年龄分布主要在30~49岁,占40. 9% (298 /728);职业以农民为主,占46. 6% (339 /728);涂阳363例(49. 9% ),其中耐多药226例(占总数的31. 0% );治疗后好转631例(86. 7% ),恶化12例(1. 6% ),死亡13例(1. 8% ),自动出院72例(9. 9% )。结论 控制复治肺结核病,应加强初治涂阳病人的发现工作、关注青壮年患者的防治、高度重视复治耐多药患者的治疗。
Objective To study the causes of retreatment tuberculosis and to provide evidences for prevention and control of tuberculosis and formulation of prevention and cure measures. Methods 728 cases of hospitalized patients with pulmonary tuberculosis clinical data were analyzed and statistically analyzed. Results 728 hospitalized cases of re-treatment of pulmonary tuberculosis, accounting for 43.6% of the total number of hospitalized and retreated tuberculosis in the same period. The age distribution was mainly between 30 and 49 years old, accounting for 40.9% (298/728) Accounting for 46.6% (339/728); smear-positive 363 cases (49.9%), including multidrug-resistant 226 cases (31.0% of the total); after treatment, 631 cases (86.7% There were 12 cases (1.6%) worsening, 13 (1.8%) died and 72 cases (9.9%) automatically discharged. Conclusion To control rehabilitative pulmonary tuberculosis, we should strengthen the discovery of smear-positive patients, pay attention to the prevention and treatment of young and middle-aged patients, and attach great importance to the treatment of multidrug-resistant patients.