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本文报告农村新发现266例涂阳肺结核病人治疗管理情况。在177例初治病人中,不住院全面监督管理110名,坚持用药率为99％,年痰菌阴转率为95.5％;不住院全程管理65名,年痰菌阴转率90.8％。采用1SH/111S_2H_2方案者第1～3年的复发率分别为9.1％、4.8％、5.O％,采用2SHR/10S_2H_2R_2方案者无一例复发。复治病人89名,全程管理83人,年痰菌阴转率78.8％。本文着重讨论农村加强不住院化疗管理的重要性及措施。
This article reports on the newly discovered treatment and management of 266 cases of smear positive pulmonary tuberculosis in rural areas. Among 177 newly diagnosed patients, 110 were not supervised and administered in a comprehensive way, the rate of adherence was 99%, the rate of sputum negative conversion was 95.5%, 65 were not hospitalized, and the annual sputum negative conversion rate was 90.8%. The recurrence rates of 1SH / 111S_2H_2 regimen in the first year to the third year were 9.1%, 4.8% and 5.0%, respectively. No recurrence was found with the 2SHR / 10S_2H_2R_2 regimen. Retreatment 89 patients, the entire management of 83 people, annual sputum negative conversion rate of 78.8%. This article focuses on the importance and measures of strengthening the management of non-hospitalized chemotherapy in rural areas.