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目的比较家庭督导法与全程督导法对涂阳肺结核患者的治疗效果。方法于2003-04/2007-12,将小金县疾病预防控制中心所有登记治疗的初治涂阳肺结核232例患者,随机分成两组,全程督导法组100例,家庭程督导法组132例,观察2个月后痰转阴率,满疗程后2个月痰阴转率,即治愈率。结果两个月后,家庭督导法治疗组痰转阴率96.21%,全程督导法治疗组转阴率93.00%,满疗程后,家庭督导法治疗组痰转阴率94.70%,全程督导法治疗组转阴率90.00%,两组间比较P均<0.05,差异均有统计学意义。结论家庭督导法治疗优于全程督导法,提示在少数民族地区采用家庭督导法更能有效治疗肺结核。
Objective To compare the treatment effect of smear-positive pulmonary tuberculosis patients with family supervision law and full supervision law. Methods From April 2003 to December 2007, 232 newly diagnosed smear-positive pulmonary tuberculosis patients registered and treated in Xiaojin County Center for Disease Control and Prevention were randomly divided into two groups: 100 cases in the whole supervision group, 132 cases in the family supervision group, Observed 2 months after the sputum negative conversion rate, 2 months after the full course of sputum negative conversion rate, the cure rate. Results Two months later, the rate of sputum negative conversion rate was 96.21% in the family supervised therapy group and 93.00% in the whole supervised therapy group. After the full course of treatment, the rate of sputum negative conversion rate in the family supervised therapy group was 94.70% The rate of negative conversion was 90.00%, P <0.05 between two groups, the differences were statistically significant. Conclusion Family supervised therapy is better than the whole supervised method, suggesting that family supervision is more effective in treating tuberculosis in ethnic minority areas.