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我们对1979年辽宁全省流行病学抽样调查32个流调点的肺结核病人组织了全面监督下不住院化疗,坚持服药率达到95.2％,痰菌阴转率半年达到75％。同时,在沈阳市铁西防治所和工厂卫生所组织全面监督下不住院化疗,初治组六个月坚持服药率99.3％,痰菌阴转率100％,复治组六个月坚持服药率99.2％,痰菌阴转率71.4％。因此,我们的体会是不住院化疗的成败在于监督。实行全面监督化疗中存在的问题是很多的,列举如下:
In 1979, Liaoning province epidemiological sampling survey of 32 flow point of pulmonary tuberculosis patients under the supervision of non-hospital chemotherapy under the overall supervision, adhere to the rate of 95.2%, sputum negative conversion rate reached 75% six months. At the same time, Shenyang Tiexi Prevention Factory and Factory Health Institute under the supervision of the hospital under the comprehensive supervision of chemotherapy, the initial treatment group six months adhere to the medication rate of 99.3%, sputum negative conversion rate of 100%, retreatment six months adhere to the medication rate 99.2%, sputum negative conversion rate of 71.4%. Therefore, our experience is not monitoring the success or failure of chemotherapy in the hospital. The implementation of a comprehensive monitoring of the problems in chemotherapy is many, as follows: