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梁立波, 关黎, 刘伟, 陶思怡, 柳青青, 吴群红. 耐多药结核病患者生存状况及死亡影响因素研究进展[J]. 中国公共卫生, 2019, 35(6): 786-788. DOI: 10.11847/zgggws1118405
引用本文: 梁立波, 关黎, 刘伟, 陶思怡, 柳青青, 吴群红. 耐多药结核病患者生存状况及死亡影响因素研究进展[J]. 中国公共卫生, 2019, 35(6): 786-788. DOI: 10.11847/zgggws1118405
Li-bo LIANG, Li GUAN, Wei LIU, . Progress in researches on status and impact factors of survival and mortality in patients with multidrug-resistant tuberculosis[J]. Chinese Journal of Public Health, 2019, 35(6): 786-788. DOI: 10.11847/zgggws1118405
Citation: Li-bo LIANG, Li GUAN, Wei LIU, . Progress in researches on status and impact factors of survival and mortality in patients with multidrug-resistant tuberculosis[J]. Chinese Journal of Public Health, 2019, 35(6): 786-788. DOI: 10.11847/zgggws1118405

耐多药结核病患者生存状况及死亡影响因素研究进展

Progress in researches on status and impact factors of survival and mortality in patients with multidrug-resistant tuberculosis

  • 摘要: 近年来,耐药结核病的全球传播给世界各国带来了巨大挑战,尤其是耐多药结核与广泛耐药结核因治疗周期长、费用高以及药物的副作用而导致中断治疗或者规范治疗后失访较多,为患者的跟踪带来一定困难。开展耐多药结核(MDR-TB)患者生存状况与死亡的危险因素研究,可为中国有效控制耐多药结核病可干预的死亡危险因素,提高耐多药结核患者的生存时间提供依据。研究表明广泛耐药结核患者生存时间为1.54~6.00年,发展中国家的患者生存时间短于发达国家;耐多药结核患者生存时间略长,为3.78~9.70年。耐多药结核患者死亡的主要危险因素包括治疗延迟、感染艾滋病病毒、年龄、行为生活方式、并发症、营养状况、耐药类型等。在耐多药结核防控工作中应有针对性地开展相关研究,采取积极的应对措施,提高患者生存时间。

     

    Abstract: Recent wide spread of drug-resistant tuberculosis is a big challenge to the world. The patients with multidrug-resistant tuberculosis/extensively drug-resistant tuberculosis (MDR-TB/XDR-TB) discontinue the treatment frequently due to long-term duration, expensive cost and side effect of the treatment, which results in increased loss to follow-up. Studies on MDR-TB survival and hazard factors of MDR-TB are aimed to control risk factors and to contribute evidences of effective strategy for improving survival among MDR-TB patients. Studies have estimated a median survival of 1.54 – 6.0 years for XDR-TB patients and the survival of the patients in developing countries was lower than those in developed countries; the median survival is 3.78 – 9.70 years for MDR-TB patients, which is slightly higher than that of XDR-TB patients. Delayed treatment, human immunodeficiency virus (HIV) infection, age, lifestyle and behavior, complications, nutritional status, and type of resistance are strongly associated with mortality among drug-resistant tuberculosis patients. Studies on prevention and control of MDR-TB in the future need to be promoted for developing effective interventions on the survival of the patients.

     

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