2004年台州市结核病监测结果分析

Analysis on the monitoring results of tuberculosis in Taizhou City in 2004

目的监测结核病流行状况,分析结核病流行病学规律及其转归情况,以便科学地指导和评价实施现代防治策略的效果。方法采用现代结核病控制策略(DOTS)开展防治工作,收集2004年监测资料,对结果进行统计分析。结果2004年涂阳新登记率为32.44/10万,治愈率为85.03%,通过转诊方式发现病人的比例为87.86%,新登记菌阳病人1个月之内发现率为36.70%。三周内治疗率98.09%。结论台州市结核病病人发现率和治愈率较高,查、治、管一体化管理模式在病人治疗、落实免费政策、病人管理上具有较大优势,但存在转诊环节,导致发现病人时间延误。监测表明,病人因应用板式药物治疗引起副反应而停药或改方案比例较高。

Objective The study was performed to monitor the epidemic situation of tuberculosis and analyze the epidemiological law and relapse of the disease, so as to scientifically instruct the implementation of modem prevention and treatment strategy, and evaluate the implementation effect as well. Methods A modem tuberculosis prevention and control strategy, i.e. direcctly observed treatment short-course （DOTS）, was adopted to carry out the prevention and treatment work, collect monitoring data of 2004, and perform a statistical analysis for the results. Results The newly registered rate of smear-positive tuberculosis was 32.44/lakh, with curative rate of 85.03%, and 87.86% of the patients were detected through referring. Among patients of smear positive who were newly registered, 36.70% were found within a month, and the treatment rate within three weeks was was 98.09%. Conclusion The detection rate and treatment rate for tuberculosis patients in Taizhou City are relative high, and for treatment of patients, implementation of gratis treatment strategy, as well as management of patients, the management model of integration of detection, treatment and control is advantageous to a relatively high degree, but the existing link of referring might result in delay of detection for patient. Monitoring results show that there is a relatively high proportion of patients whose drag administration is interrupted or whose therapeutic schemes changed for the side effects caused by the therapy of anti-tuberculosis drugs.