四川地震灾区结核病56例救治分析
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摘要
目的探讨地震灾区结核病患者的临床特征。方法对56例四川地震灾区结核患者从临床特征、治疗及转归方面进行回顾性分析。结果(1)合并症与并发症中,地震相关伤病(外伤与感染)发生率高,达39.3%;(2)所有患者均有焦虑抑郁情绪;(3)中断治疗率高,达42.3%;(4)56例患者均未转运出川。结论(1)积极处理地震相关伤病,以降低死亡率;重视心理干预,防止发生心理危机;(2)震后应及时加强灾区结防机构的重建,避免中断治疗,有助于防止灾区复治、耐药结核的产生;(3)所有结核病患者均不宜转运出省,防止结核病流行。
Objective To investigate the clinical characteristics of patients tuberculosis from the earthquake-hit areas.Methods The clinical characteristics,treatments and prognosis of 56 tuberculosis cases from the earthquake-hit areas were analyzed retrospectively.Results There was a high incidence(9.3%)of injuries(wounds and infections)associated with earthquake in patients with tuberculosis.All patients had anxiety and depression.There was a high therapy interruption rate(42.3%).None of the patients was transported to other provinces.Conclusion The mortality rate could be reduceded by management of injuries associated with earthquake.We should pay more attention to psychological intervention to avoid psychological crisis.Strengthening the reconstruction of tuberculosis control and prevention institution and avoiding therapy interruption were helpful to decrease rates of retreatment and drug resistence.To prevent the prevalence of tuberculosis,patients with tuberculosis should not be transported to other provinces.
Objective To investigate the clinical characteristics of patients tuberculosis from the earthquake-hit areas.Methods The clinical characteristics,treatments and prognosis of 56 tuberculosis cases from the earthquake-hit areas were analyzed retrospectively.Results There was a high incidence(9.3%)of injuries(wounds and infections)associated with earthquake in patients with tuberculosis.All patients had anxiety and depression.There was a high therapy interruption rate(42.3%).None of the patients was transported to other provinces.Conclusion The mortality rate could be reduceded by management of injuries associated with earthquake.We should pay more attention to psychological intervention to avoid psychological crisis.Strengthening the reconstruction of tuberculosis control and prevention institution and avoiding therapy interruption were helpful to decrease rates of retreatment and drug resistence.To prevent the prevalence of tuberculosis,patients with tuberculosis should not be transported to other provinces.
引文
[1]中华医学会结核病分会.中国结核病分类法[J].中华结核和呼吸杂志,1998,21:716-717.
[2]WHO.传染病风险评估和干预措施[S].WHO,2008:10.
[3]Centers for Disease Control and Prevention(CDC).Tuberculo-sis control activities after Hurricane Katrina-New Orleans,Lou-isiana,2005[J].MMWR Morb Mortal Wkly Rep,2006,55(12):332-335.
[4]WHO.Tuberculosis and Air Travel:Guidelines for Prevention and Control[S].WHO,2006:23.
[2]WHO.传染病风险评估和干预措施[S].WHO,2008:10.
[3]Centers for Disease Control and Prevention(CDC).Tuberculo-sis control activities after Hurricane Katrina-New Orleans,Lou-isiana,2005[J].MMWR Morb Mortal Wkly Rep,2006,55(12):332-335.
[4]WHO.Tuberculosis and Air Travel:Guidelines for Prevention and Control[S].WHO,2006:23.
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