Kameda K, Okazawa A, Ishida M, Kanoh E, Fukushima M
Osaka Prefectural Habikino Hospital, Japan.
Kekkaku. 1991 Oct;66(10):661-9.
Using the registration card of tuberculosis patient, a retrospective analysis was made on newly registered 379 patients with pulmonary tuberculosis in 1985 to examine the treatment duration, the outcome, the duration of registration, and bacteriological relapse. These patients were divided into three groups according to the results of bacteriological examination at the time of registration: (1) patients with positive-bacilli (Group A); (2) patients with negative-bacilli (Group B); and (3) patients without results of bacteriological examination (Group C). 1) Number of cases were 164 (43.3%) in the group A, 130 (34.3%) in the group B, and 85 (22.4%) in the group C. Sputum specimens from 68 patients (80.0%) of the group C were negative on smear, however, the results of culture were not obtained, and remaining 17 cases (20.0%) were not examined bacteriologically. 2) 54 patients (32.9%) in the group A, 25 (19.2%) in the group B, and 17 (20.0%) had a previous history of tuberculosis, respectively. 3) Number of patients with cavitary lesions at the time of registration were 105 (64.0%) in the group A, 46 (35.4%) in the group B, and 14 (16.5%) in the group C. Patients in the group A showed the highest rate of cavitary lesions. 4) Number of patients receiving treatment less than 12 months were 73 (53.3%) in the group A, 92 (85.2%) in the group B, and 47 (73.5%) in the group C, respectively. 5) 317 patients (83.6%) were omitted during 5 years of period from registration although 62 (16.4%) were still under registration even after 5 years.(ABSTRACT TRUNCATED AT 250 WORDS)
利用结核病患者登记卡,对1985年新登记的379例肺结核患者进行回顾性分析,以考察治疗时长、治疗结果、登记时长及细菌学复发情况。这些患者根据登记时的细菌学检查结果分为三组:(1)涂片阳性患者(A组);(2)涂片阴性患者(B组);(3)未进行细菌学检查患者(C组)。1)A组164例(43.3%),B组130例(34.3%),C组85例(22.4%)。C组68例患者(80.0%)痰涂片阴性,但未获得培养结果,其余17例(20.0%)未进行细菌学检查。2)A组54例患者(32.9%)、B组25例患者(19.2%)、C组17例患者(20.0%)有肺结核病史。3)登记时有空洞性病变的患者,A组105例(64.0%),B组46例(35.4%),C组14例(16.5%)。A组患者空洞性病变发生率最高。4)治疗时间少于12个月的患者,A组73例(53.3%),B组92例(85.2%),C组47例(73.5%)。5)登记后5年内,317例患者(83.6%)失访,62例患者(16.4%)即使5年后仍在随访中。(摘要截选至250词)