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目的探索涂阳肺结核督导管理的新途径。方法将120例新涂阳肺结核患者随机分为干预组和对照组,干预组在常规督导管理的基础上采取网络通讯督导管理,对照组只采用常规督导管理方式,比较干预组和对照组患者总体服药率、规则治疗率、2和3月末痰菌阴转率、满疗程转归情况。结果干预组总体服药率为96.7%,对照组总体服药率为85.0%,差异有统计学意义(χ2=663.103,P<0.01)。干预组规则治疗率90.0%,对照组规则治疗率75.0%,差异有统计学意义(χ2=4.675,P<0.05)。干预组2月末痰菌阴转率93.3%,3月末阴转率95.0%。对照组2月末阴转率80.0%,3月末阴转率83.3%。2和3月末干预组与对照组的阴转率分别相比,差异有统计学意义(χ2值分别为4.615和4.227,均P<0.05)。干预组治愈率96.7%,对照组治愈率71.7%,差异有统计学意义(χ2=14.070,P<0.01)。结论在常规督导的基础上开展网络通讯督导工作,是肺结核督导管理的新途径,效果显著,值得推广。
Objective To explore a new way to supervise the management of smear positive pulmonary tuberculosis. Methods One hundred and twenty new smear-positive pulmonary tuberculosis patients were randomly divided into intervention group and control group. The intervention group was supervised by network communication on the basis of conventional supervision and management, while the control group only used conventional supervision and management method. The intervention group and control group patients overall Medication rate, regular treatment rate, 2 and 3 end of sputum negative conversion rate, full course of treatment outcome. Results The overall medication rate was 96.7% in the intervention group and 85.0% in the control group. The difference was statistically significant (χ2 = 663.103, P <0.01). The rule treatment rate was 90.0% in the intervention group and 75.0% in the control group (χ2 = 4.675, P <0.05). In the intervention group, the sputum negative conversion rate was 93.3% at the end of February, and the negative conversion rate was 95.0% at the end of March. The negative conversion rate of the control group at the end of February was 80.0%, and the negative conversion rate at the end of March was 83.3%. There were significant differences in the negative conversion rates between the intervention group and the control group at the end of 2 and 3 (χ2 = 4.615 and 4.227, respectively, P <0.05). The cure rate was 96.7% in the intervention group and 71.7% in the control group (χ2 = 14.070, P <0.01). Conclusion It is a new way to supervise and manage tuberculosis on the basis of regular supervision and supervision of network communication. The results are remarkable and worthy of promotion.