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1979年以来,我们对105名农村初治肺结核进行了全监化疗、采用Sm+1NH方案,经一年不间断化疗,痰菌阴转率为92.8％,为了考核坚持服药情况,对监化病人随机抽样进行尿异烟肼定性测定(硝普钠法),34例双盲判定结果,阳性31人阴性3人,坚持服药率为91％。我们认为;农村不住院全监化疗是一项复杂而又细致的工作,应该做到以下几点: 一、深入、耐心地进行宜传工作,召开社、队防痨人员、患者及家属的座谈会,宣传监化知识,散发宣传材料,提高患者对规律化疗意义的认识,提高自觉性。二、制订“患者须知”或“患者守则”指定责
Since 1979, we treated 105 rural patients with newly diagnosed pulmonary tuberculosis with full-regimen therapy and adopted Sm + 1NH regimen. After a year of continuous chemotherapy, the sputum negative conversion rate was 92.8%. In order to insist on taking medication, A random sample of urine qualitative determination of isoniazid (sodium nitroprusside method), 34 cases of double-blind decision, the positive 31 negative 3, insisted medication was 91%. We think that not being hospitalized in rural Quanji treatment is a complicated and meticulous work, we should do the following: First, in-depth and patient conduct should pass the work, holding social and team prevention staff, patients and their families discussion Will, advocacy and supervision of knowledge, dissemination of promotional materials, improve the patient’s understanding of the significance of regular chemotherapy, improve consciousness. Second, the development of “patient information” or “patient code” designated responsibility