地处边远牧区的少数民族地区如何开展不住院全监间歇化学疗法,我们认为必须做到以下几点: 一、巩固三级防痨网是搞好“监化”的保证三级防痨网就是旗、公社、大队三级,我们主要是抓好公社、大队两级。在搞“监化”的公社及各大队,必须有一名有一定业务能力,热爱防痨事业的专职或兼职防痨医生。他们在“监化”时间内,必须保持稳定尽量不换人。“监化”的任务主要是落在大队防痨医生身上,按治疗方案规定的日期,监督病人服药打针,观查病情,书写病程记录。同时观察本大队范围内肺结核病的动态,发现可疑病人或出现一些问题及时向公社防痨医生汇报。边远游牧民肺结核病人按季节迁移,大队防痨医生可再加一名兼职的医生跟群放牧,完成“监化”任务。公社防痨医生每一个月到各大队巡视一次,发现问题帮助解决,疑难问题向旗结防所汇报。旗防痨医生除确诊病人送药外,每三个月必须去公社到各大 We are in the minority area of ​​the remote pasturing areas where we do not carry out the full-regimen intermittent chemotherapy, and we think the following must be done: First, to consolidate the three-level prevention network is to ensure the “supervision” of the three anti- The flag, commune, brigade three, we mainly do a good job commune, brigade two levels. The communes and brigades conducting “supervision and control” must have a full-time or part-time doctor who has certain business skills and who is in love with the cause of prevention and control. In the “monitoring” time, they must remain stable and try to avoid any substitution. The task of “monitoring and curtailing” mainly falls on the brigade anti-tuberculosis doctors. According to the date stipulated in the treatment plan, the patient is monitored for injections, observation of the disease and record of the disease course. At the same time observe the dynamics of tuberculosis within the scope of this brigade and report suspicious patients or some problems to the commune anti-tuberculosis doctors in time. Migrant nomadic TB patients migrate on a season-by-season basis. Battalion anti-tuberculosis doctors may add a part-time doctor to herds herd to complete the task of “monitoring and curtailing.” The commune anti-tuberculosis doctor visits the brigades once a month and finds problems to help solve the difficult problems reported to the end. Apart from confirming the patient’s medication, the flag anti-tuberculosis doctor must go to the commune every three months to make a big difference