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目的分析肺结核患者选择不同个性化管理方式治疗的效果,了解患者的管理需求。方法通过查阅门诊病历、结核病管理信息系统及肺结核患者个案调查表,收集患者的一般情况和治疗转归等信息,分析个性化管理模式的效果。结果管理方式中选择“自我监督”的比例最高为44.74%,其次为“患者每周领药”为39.47%。不同人群选择管理方式除性别外,年龄、户籍、婚姻、职业、文化程度和诊断结果差异均有统计学意义(P<0.05)。所有患者治疗成功率为88.82%,其中新涂阳治愈率为89.34%;选择不同管理方式的患者治疗成功率、新涂阳治愈率差异均无统计学意义(P>0.05)。结论个性化管理能合理利用医疗资源,达到较高的治疗成功率和治愈率。
Objective To analyze the effect of different personalized management of tuberculosis patients to understand the management needs of patients. Methods Through outpatient medical records, tuberculosis management information system and case-control questionnaire of patients with tuberculosis, the general situation of patients and treatment outcome were collected, and the effect of individualized management mode was analyzed. The results of the management of the way to choose “self-supervision ” the highest proportion of 44.74%, followed by “patient weekly drug ” was 39.47%. In addition to gender, age, household registration, marital status, occupation, education level and diagnosis results were all statistically significant (P <0.05). The success rate of all patients treated was 88.82%, of which the new smear cure rate was 89.34%; choose different management methods in patients with treatment success rate, the new cure rate of smear-positive difference was not statistically significant (P> 0.05). Conclusion Personalized management can make rational use of medical resources to achieve a high success rate and cure rate.