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目的了解肺结核患者合并艾滋病、梅毒、肝炎等传染性疾病流行状况,为制定防控策略提供参考依据。方法对2013年登记的肺结核患者进行艾滋病、梅毒、丙肝和乙肝等抗体的检测,检测结果使用EXCEL 2007软件进行统计分析。结果本次调查发现肺结核患者合并艾滋病、梅毒、丙型肝炎的感染率分别为0.49%、0.49%和1.82%,合并乙肝感染率为7.06%,其中乙肝表面抗原阳性者中出现“大三阳”和“小三阳”的患者分别为17.24%和62.07%。结论对发现登记的肺结核患者,应注重肝炎、艾滋病等其他传染病疾病的监测,特别是针对乙型肝炎的检测,并针对合并乙肝患者肝功能的具体情况,给予肝毒性相对较小的药物组成的化疗方案,减少不良反应发生,提高患者疗效。
Objective To understand the prevalence of infectious diseases such as AIDS, syphilis and hepatitis in patients with pulmonary tuberculosis and to provide a reference for formulating prevention and control strategies. Methods HIV, syphilis, hepatitis C and hepatitis B antibodies were detected in 2013 registered tuberculosis patients. The test results were analyzed by EXCEL 2007 software. Results The survey found that the infection rates of HIV, syphilis and hepatitis C in patients with tuberculosis were 0.49%, 0.49% and 1.82%, respectively, and the rate of hepatitis B infection was 7.06%. Among them, HBsAg positive patients showed “ ”And “ Sanyang ”patients were 17.24% and 62.07%. Conclusions For registered tuberculosis patients, attention should be paid to the monitoring of other infectious diseases such as hepatitis and AIDS, especially for the detection of hepatitis B, and the drug composition with relatively low hepatotoxicity should be given according to the specific liver function of patients with hepatitis B Chemotherapy program to reduce the incidence of adverse reactions and improve patient outcomes.