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目的分析肺结核患者规律治疗过程中痰菌转阳的原因。方法回顾性分析53例临床规律治疗过程中痰菌转阳病例。结果 53例病人中,菌阴转阳病例18例:第2个月转阳的8例(44.4%),其中原始耐药3例(16.7%);第3个月转阳的2例(11.1%);第5个月转阳8例(44.4%)。菌阳病例35例:第3个月转阳的13例(37.1%);第5个月转阳的12例(34.3%);第6个月转阳的8例(22.9%),其中3例病灶恶化(7.7%),1例由于免疫疾病服用大量激素,且耐药;第8个月及以后转阳的2例(5.7%)。支气管结核、耐药、合并糖尿病、复治是肺结核痰涂片转阳的主要原因。结论结核病治疗中要加强痰菌观察,及时发现转阳病例。
Objective To analyze the causes of sputum transfer in the regular treatment of pulmonary tuberculosis patients. Methods Retrospective analysis of 53 cases of clinical regularity during the treatment of sputum transfer Yang cases. Results Among the 53 patients, 18 cases were positive for yin yang (8 cases) (44.4%) in the 2nd month, of which 3 cases (16.7%) were primary drug resistance; 2 cases (11.1 %). In the fifth month, 8 cases were positive (44.4%). 35 cases of bacteriosis: 13 cases (37.1%) were positive in the 3rd month, 12 cases (34.3%) were positive in the 5th month, 8 cases (22.9%) were positive in the 6th month, of which 3 The lesions were worsened (7.7%), one was immunized with a large amount of hormones due to immune disease, and resistant to the disease; two patients (5.7%) were positive on the 8th and subsequent months. Bronchial tuberculosis, drug resistance, diabetes mellitus, retreatment is the main reason for tuberculosis sputum smear positive. Conclusions In the treatment of tuberculosis, we should strengthen the observation of sputum bacteria and discover the cases of yang-yang in time.