医学研究与教育 ›› 2014, Vol. 31 ›› Issue (1): 28-32.DOI: 10.3969/j.issn.1674-490X.2014.01.007

• 临床研究 • 上一篇    下一篇

抗结核FDC与板式组合药治疗初治肺结核转归对比分析

张进国1,张保宗2,张雁3,王彦辉4,孙晓丽4,于健4   

  1. 1.易县疾病预防控制中心,河北 易县,074299
    2.石家庄人民医学高等专科学校,河北 石家庄,050091
    3.保定市疾病预防控制中心,河北 保定,071000
    4.易县妇幼保健院,河北 易县,074299
  • 出版日期:2014-02-25 发布日期:2014-02-25
  • 基金资助:
    保定市科学技术研究与发展计划项目

Comparative analysis of outcomes on antituberculosis ifxed-dose combination and plate combination drug in treatment with patients with initial tuberculosis

ZHANG Jinguo1,ZHANG Baozong2,ZHANG Yan3,WANG Yanhui4,SUN Xiaoli4,YU Jian4   

  • Online:2014-02-25 Published:2014-02-25

摘要: 目的:对抗结核FDC与板式组合药治疗初治肺结核的转归进行临床对比观察,为抗结核FDC临床应用提供科学依据。方法将纳入的初治肺结核病例分为治疗组和对照组,治疗组用抗结核FDC,对照组用板式组合药,2组均采用隔日疗法方案(2H3R3Z3E3/4H3R3)。用对照研究方法观察2组治疗完成、丢失、方案更改及断药等情况。结果治疗完成率初治涂阳和初治涂阴患者均是抗结核FDC组大于板式组合药组(均P<0.05),丢失率初治涂阳和初治涂阴患者均是抗结核FDC组小于板式组合药组(均P<0.05),方案变更率抗结核FDC组小于板式组合药组(P<0.05),断药率和断药频次均是抗结核FDC组小于板式组合药组(P<0.05)。结论抗结核FDC有利于医务人员对患者的治疗管理和督导,在国家结核病防治规划中应用是可行的。

关键词: 抗结核FDC, 板式组合药, 初治肺结核, 转归, 对比分析

Abstract: Objective To get the clinical comparative observation on outcomes of antituberculosis fixed-dose combination and plate combination drug with initial tuberculosis treatment, providing a scientiifc basis for the antituberculosis fixed-dose combination clinical application. Methods Patients with initial treatment tuberculosis were divided into treatment group and the control group. The treatment group was treated with anti tuberculosis ifxed-dose combination, while the control group was treated with plate combination drug. Two groups all used the alternate day therapy program (2H3R3Z3E3/4H3R3). Observe the treatment completion, loss, program change and discontinuation of the medicine of the two groups with the method of control study. Results For the tuberculosis patients of initial treatment smear-positive and initial treatment smear-negative, the treatment completion rate of antituberculosis ifxed-dose combination group was greater than that of plate combination drug group(P<0.05). Loss rate of antituberculosis fixed-dose combination group was less than that of plate combination drug group(P<0.05). Program change rate of antituberculosis ifxed-dose combination group was less than that of plate combination drug group(P<0.05). The rate and the frequency of discontinuation of the medicine of antituberculosis ifxed-dose combination group was less than that of plate combination drug group(P<0.05). Conclusion Antituberculosis fixed-dose combination is advantageous to help medical staff on patient therapy management and supervision, and the application of it in the National Tuberculosis control programme is feasible.

Key words: antituberculosis fixed-dose combination, plate combination drug, initial tuberculosis treatment, outcome, comparative analysis

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