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作者报告309例痰涂片和培养均阳性的初治肺结核病例,以3种6个月短程化疗方案治疗。治疗期每月,随防期第2,4,6,9,12月行痰涂片及培养检查。根据治疗期痰菌转阴的不同月份和痰菌阴性次数,以及随访期痰菌复阳情况,认为6个月短程化疗中,最适宜的痰结核菌检查次数为1次,即在第6月。这次检查的阴性结果,可定为痰菌阴转的标准。如涂片和培养结果不一致时,以培养为准。该标准适于高效6个月化疗方案,有严格的化疗组织管理和质量较高的痰菌检查技术等条件。
The authors report 309 cases of sputum smear and culture-positive cases of untreated tuberculosis treated with three 6-month short-course chemotherapy regimens. Treatment every month, with the anti-2, 4, 6, 9, December sputum smear and culture examination. According to different stages of sputum negative sputum during the treatment and the number of sputum negative, as well as the follow-up of sputum bacteria complex, that 6-month short-course chemotherapy, the most appropriate number of sputum test for tuberculosis 1, that is, in June . Negative results of this test can be set as the standard sputum negative conversion. If smear and culture results are inconsistent, the culture shall prevail. The standard is suitable for highly effective 6-month chemotherapy regimens, with strict chemotherapy and tissue management and high quality sputum test conditions.