在结核病治疗后评估残疾,并发症和风险因素:18-24个月的随访
Y Sun1,2, Y Lin3,4, J E Golub5
1Clinical Center on TB, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
IJTLD open
|May 14, 2025
概括
结核病 (TB) 幸存者在治疗后18-24个月内面临重大长期健康问题,包括增加并发病和持续残疾. 整合长期护理对于管理结核病幸存者的这些挑战至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 慢性疾病管理 慢性疾病管理
背景情况:
- 对于结核病 (TB) 后的残疾和并发症的国家战略计划存在,但缺乏记录的可行性.
- 这些计划在常规程序设置中的附加值未得到充分探索.
研究的目的:
- 评估个人在完成结核病治疗后18-24个月的健康状况,持续的症状,并发症,风险因素和残疾.
主要方法:
- 在中国11个卫生机构完成结核病治疗的503名患者的随访 (2022-2023年).
- 评估健康状况,症状,并发症,危险因素和残疾 (6分钟步行测试 [6MWT]).
主要成果:
- 在结核病治疗后,咳,糖尿病,高血压,吸烟和饮酒量显著增加.
- 27.0%的人仍然残疾 (6MWT<400m);13%的人死亡或丢失.
- 持续的症状,高血压和营养不良是导致死亡/失去随访的风险因素.
结论:
- 结核病幸存者经历了大量的多病症和残疾治疗后.
- 卫生服务需要为结核病幸存者提供综合的长期护理策略.
- 解决持续的健康挑战对于结核病后护理至关重要.
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