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目的探索抗痨治疗中肝功能检查的两种免费方式对患者治疗依从性及治愈率的影响状况,以利于结核病门诊工作。方法2006-2007年所有肺结核患者治疗中肝功能检查分别采用两种不同的免费方式,并在治疗过程中进行随访。结果两种免费方式人均免费金额分别为261.14元和246.02元,治愈率分别为86.11%和85.85%。不规则服药分别为10.11%,9.27%。结论采取开始治疗时肝功能和乙肝三系检查自费,以后根据需要在疗程内检查肝功能全部予以免费的方式,对肺结核患者肝功能检查人均支出和治疗的依从性、治愈率无明显影响。
Objective To explore the effect of two free ways of checking liver function in anti-tuberculosis treatment on compliance and cure rate of patients in order to facilitate tuberculosis clinic work. METHODS: All of the tuberculosis patients undergoing liver function tests during 2006-2007 were treated with two different free protocols, respectively, and were followed up during treatment. Results The free per capita amount of two free ways were 261.14 yuan and 246.02 yuan respectively, with cure rates of 86.11% and 85.85% respectively. Irregular medication were 10.11%, 9.27%. Conclusions The liver function test and hepatitis B tri-series test are taken at the beginning of treatment. Afterwards, all the liver functions are checked for free within the course of treatment according to need. There is no significant effect on per capita expenditure of liver function test and treatment compliance and cure rate of patients with pulmonary tuberculosis.