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控制农村结核病问题是当前结核病防治的重点。据全国第四次结核病流行病学抽样调查显示,农村人口的活动性肺结核患病率、涂阳患病率和菌阳患病率均高于城市、城镇人口。因此,建立农村三级防痨网络,落实各项防治措施,把结核病防治工作纳入初级卫生保健工作,是控制农村结核病的关键。但由于广大农民对结核病的认识及自我保健意识不足或其它原因,使肺结核病人不按当前结核病管理的要求服药与检查,成为结核病管理中的难点。 难点一:肺结核病病程长,病情进展慢,早期治疗效果不明显,服药二个月后,症状明显减轻,甚至与健康人相差无几,常自行停药,从而造成难治性、复治性病人的增多。
Control of tuberculosis in rural areas is the focus of current TB control. According to the fourth national epidemiological survey of tuberculosis, the prevalence of active tuberculosis, the prevalence of smear-positive and the prevalence of smear-positive in rural population are higher than those in urban and urban areas. Therefore, the establishment of a three-tiered prevention network in rural areas, the implementation of various prevention and control measures, and the integration of tuberculosis prevention and control work into primary health care work are the keys to controlling rural tuberculosis. However, due to the vast number of peasants’ awareness of tuberculosis and the lack of awareness of self-care or other reasons, tuberculosis patients are not required to take medication and examination according to the current management of tuberculosis and become a difficult point in tuberculosis management. Difficulty: tuberculosis long course, slow progression of the disease, the early treatment effect is not obvious, medication two months later, the symptoms were significantly reduced, or almost the same with healthy people, often on their own withdrawal, resulting in refractory, retreatment patients Increase.