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目的观察宁南县使用短程化疗方案(2H3R3Z3E3/4H3R3)治疗初治涂阳肺结核病的疗效。方法统一使用2H3R3Z3E3/4H3R3方案治疗肺结核病患者,以病历和报表中的相关信息进行分析。结果用该方案共治疗涂阳肺结核病患者515例,系统管理率95.34%,规则服药率98%,治疗第2个月末痰检阴性率90.35%,治疗第56、个月末痰检阴性率97.31%,治愈率91.46%,初治失败率2.69%。结论该方案疗程短、服药次数少,痰菌阴转迅速、治愈率高、失败率低,为目前治疗初治涂阳肺结核病的优良方案。
Objective To observe the curative effect of the treatment of newly-smear positive pulmonary tuberculosis in Ningnan County by using the short-course chemotherapy regimen (2H3R3Z3E3 / 4H3R3). Methods Uniform use of 2H3R3Z3E3 / 4H3R3 program for the treatment of pulmonary tuberculosis patients, medical records and statements in the relevant information for analysis. Results A total of 515 sputum smear positive pulmonary tuberculosis patients were treated with this regimen. The system management rate was 95.34% and the regular medication rate was 98%. The negative sputum test rate was 90.35% at the end of the second month of treatment. The negative rate of sputum examination at the end of the 56th month was 97.31% , The cure rate was 91.46%, the initial failure rate was 2.69%. Conclusions The regimen is short course, less medication, sputum negative conversion rapidly, high cure rate and low failure rate. It is an excellent scheme for the treatment of smear positive pulmonary tuberculosis.