頁籤選單縮合
題 名 | 榮譽國民之家肺結核病人用直接觀察治療法之成效探討=Effects of Directly Observed Treatment Chemotherapy on Pulmonary Tuberculosis Patients in Veterans Home |
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作 者 | 李茹萍; 李仁智; 邱艷芬; | 書刊名 | 胸腔醫學 |
卷 期 | 14:1 1999.03[民88.03] |
頁 次 | 頁17-23 |
分類號 | 419.73 |
關鍵詞 | 肺結核; 榮民之家; 直接觀察治療法; 完治率; Pulmonary tuberculosis; Directly observed therapy; DOT; Veteran's home; Cure rate; |
語 文 | 中文(Chinese) |
中文摘要 | 男性、高齡、居住於群體機構中者為感染肺結核病的高危險群,群居 於榮民之家的個案多為獨身的男性老人,在肺結核的治療上往往因無法持續服藥 而延誤療程,本研究的主要目的,在探討榮民之家的肺結核個案,採用自我服藥 方式(SAT)與執行直接觀察治療法(DOT)其完治成效情形。計收案53人,總完 治率為50.9%,在未完治的原因中以治療中死亡居首位(46.2%)。其中採用自我服 藥方式的人數為41名,其完治率為41.5﹪、完治後的復發率為29.4%,使用DOT 給藥方式者12人,完治率為83.3%,而至目前為止尚無復發病例。由本研究結 果中,顯示DOT的方式確實能增加結核病患的完治率並且降低其復發率。本研 究結果可提供相關單位以及與榮家性質相似的機構,做為醫護肺結核病患時的參 考。 |
英文摘要 | The problem of noncompliance can be a major factor for the treatment result in patients with pulmonary tuberculosis (TB), especially in old-age male. In this study, we collected a total of 53 cases from 1992 to 1997 in a Veteran's home. The purpose was to compare the treatment result between cases with self-administered therapy (SAT) and cases with directly observed treatment (DOT). After a period of TB treatment for 6 to 9 months, the result was evaluated by cheat X-ray. The cure rate was defined as stabilization of TB lesion. Following the termination of treatment, the patients were following up for 12 months. Recurrence was evident by chest X-ray diagnosis and sputum smear. Among 53 cases, there were 41 patients received SAT. The cure rate in this group was 41.5% (17/41) and the recurrent rate was 49.4%(5/17). In the DOT group (12 cases), the cure rate was 83.3%(10/12). In these ten cured cases, no recurrence was found within the 12-month of follow-up (zero recurrent rate). Statistical evaluation indicates that the DOT group had higher cure rate and lower recurrent rate than those of the SAT group. The results of this study suggest that directly observed therapy could be adopted for TB therapy in old-agedman. |
本系統中英文摘要資訊取自各篇刊載內容。