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目的分析213例复治涂阳肺结核病例转归的影响因素,为结核病防治提供依据。方法对2002~2006年间登记的213例复治涂阳肺结核病例资料进行回顾性分析。结果213例复治涂阳肺结核病例男女性别之比为3.84:1,不同性别治愈率差异无显著性(P>0.05);15~44岁年龄组治愈率显著高于45岁以上组(P<0.05);痰菌量1+~2+组的治愈率显著高于3+~4+组(P<0.05);病变范围1~3个肺野组的治愈率显著高于4~6个肺野组(P<0.05)。结论复治涂阳肺结核病例的年龄、病变范围、痰菌量显著影响转归结果;应改进DOTS质量,提高复治涂阳肺结核病人的治愈率。
Objective To analyze the influencing factors of the outcome of 213 cases of relapse and cure smear positive pulmonary tuberculosis and provide basis for prevention and treatment of tuberculosis. Methods The data of 213 cases of retreated smear positive pulmonary tuberculosis registered between 2002 and 2006 were analyzed retrospectively. Results The ratio of male to female in 213 cases of smear positive pulmonary tuberculosis was 3.84: 1, there was no significant difference in the cure rate between different genders (P> 0.05). The cure rate of 15 to 44 years old group was significantly higher than that of 45 years old group (P < 0.05). The cure rate of sputum in 1 + ~ 2 + group was significantly higher than that in 3 + ~ 4 + group (P <0.05). The curative rate of lesions ranged from 1 ~ 3 lung field group was significantly higher than that of 4 ~ 6 lungs Wild group (P <0.05). Conclusions The age, range of disease and the amount of sputum in retreatment smear positive pulmonary tuberculosis significantly affect the outcome of the treatment. The quality of DOTS should be improved and the cure rate of smear positive pulmonary tuberculosis should be improved.