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组织管理学术的重要性当前制定一项控制与消灭传染源的有效合理化疗方案并不是困难的,但是在不住院初治涂阳肺结核治疗中,使合理的化疗产生预期的效果则是不容易的,这涉及到一个重要问题即肺结核不住院化疗中的组织管理学术问题。在不住院化疗的实际工作中,我们曾观察到如下几组实例(对象均为初治排菌病人,采用基本相似的化疗方案):1.1979年我省流调发现的46例病人,采用6SHT/12HT 方案,在实施一般管理情况下,疗程结束时痰菌阴转率为67.4%:2.1984年进行化疗科研共34例,采用3SHT/9HT 方案,强化期施以全临化疗,巩固期给以全程督导,疗程结束时痰菌阴转率为91.2%;3.同一时期绥化地区对初治涂阳病人28例以2SH/10S_2H_2治疗,采取全监化疗管理,
The Importance of Organizational Management Academic It is not difficult to formulate an effective and rational chemotherapy regimen for controlling and eliminating sources of infection. However, it is not easy to make rational chemotherapy the desired effect without hospitalization for first-time smear-positive pulmonary tuberculosis , Which involves an important issue of tissue management in tuberculosis non-hospitalized chemotherapy. In the actual work without chemotherapy in the hospital, we have observed the following groups of examples (the object is the first treatment of patients with bacteriosis, the use of basically similar chemotherapy): 1.1979 cases found in our province flow adjustment 46 patients using 6SHT / 12HT program, in the implementation of general management, the end of the treatment when the sputum negative conversion rate was 67.4%: 2 1984 chemotherapy for a total of 34 cases, the use of 3SHT / 9HT program to strengthen the whole period of chemotherapy, the consolidation period to give full Supervision, end of treatment when the sputum negative conversion rate was 91.2%; 3. Suihua during the same period in the treatment of smear-positive patients 28 cases with 2SH / 10S 2 H 2 treatment, take the whole prison chemotherapy management,