结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (2): 113-115.doi: 10.3969/j.issn.2095-3755.2015.02.009

• 论著 • 上一篇    下一篇

110例耐药肺结核病临床特征分析

邓章莉,吴道深,李彦良,谭卫国   

  1. 518000 深圳市龙岗区慢性病防治院慢性病防治科(邓章莉);深圳市大鹏新区葵涌医院结核病防治科(吴道深、李彦良);深圳市慢性病防治中心 大鹏新区名医工作室(谭卫国)
  • 收稿日期:2015-03-31 出版日期:2015-06-14 发布日期:2015-06-14
  • 通信作者: 谭卫国,Email:twg202@sohu.com
  • 基金资助:
    “十二五”国家科技重大专项(2012ZX10004903)

Discussion of the clinical features of 110 cases with drug-resistant tuberculosis

DENG Zhang-li*, WU Dao-shen, LI Yan-liang, TAN Wei-guo   

  1. *Department of Chronic Disease Prevention of Shenzhen Longgang District Chronic Disease Control Hospital of Shenzhen, Shenzhen 518000, China
  • Received:2015-03-31 Online:2015-06-14 Published:2015-06-14
  • Contact: TAN Wei-guo,Email:twg202@sohu.com

摘要: 目的 通过对耐药肺结核病的临床特征分析,了解患者结核分枝杆菌的耐药程度、病情变化、治疗效果等。方法 搜集2009年1月至2012年12月深圳慢性病防治中心110例耐药肺结核患者。对患者进行痰涂片检查、改良罗氏培养、菌型鉴定、药物敏感性试验(简称“药敏试验”)、胸部X线检查等,观察患者治疗后病灶变化、药物不良反应等,并且组织专家讨论,进行全面的评估。结果 110例耐药肺结核患者主要症状为咳嗽、咯痰;耐多药患者占21.8%(24/110),耐3种及以上药物的患者占19.1%(21/110);病灶多累及双侧肺野,达57.3%(63/110);痰涂片检查结果“+++”及以上患者占30.9%(34/110);80.9%(89/110)的患者病灶显著吸收或部分吸收。耐药肺结核患者治疗成功率为76.4%(84/110)),治疗失败率为13.6%(15/110)。结论 耐药肺结核呼吸道症状明显,耐多药和多耐药肺结核患者所占比率较高,对肺组织损害程度严重。要加强耐药结核病防治工作,控制结核的传播。

Abstract: Objective To analyze the clinical features of drug-resistant tuberculosis, and to understand mycobacteria, patient’s conditions and outcomes of treatment in drug-resistant TB patients.Methods The clinical data of 110 drug-resistant TB cases, at Shenzhen Chronic Disease Control and Prevention Centre from January 2009 to December 2012, were collected. Patients were assayed with smear, culture, X-Ray, bacterial identification and drug sensitivity test, etc. Effects and side effects were observed during treatment. A comprehensive assessment was conducted by experts through discussion.Results The prominent symptoms of 110 cases of drug-resistant TB were cough and expectoration. Amongst all patients, 21.8% (24/110) demonstrated Multi-drug resistant tuberculosis, and 19.1% (21/110) contracted tuberculosis resistant to 3 and more drugs. 57.3% (63/110) of patients had bila-teral lung field affected. The rate of +++ and above among the patients with sputum smear + was 30.9% (34/110). The rate of lesions absorption was 80.9% (89/110).The rate of successful treatment was 76.4% (84/110), while that of failure amounted to 13.6% (15/110).Conclusion The drug-resistant tuberculosis possesses apparent respiratory manifestation,It was shown there had been a high percentage of multi-drug resistant TB and poly-resistant TB, damaging the lung severely. We should enhance drug-resistant tuberculosis control and reduce the propagation of drug-resistant TB.