1996～2000年武钢新登记涂阳肺结核病例队列分析

Thr cohort analysis of new smear positive cases of pulmonary tuberculosis in wugang in 1996～2000

目的 分析武钢世界银行贷款结核病控制项目实施的初、复治涂阳肺结核病人的治疗及转归情况。方法 采用队列分析法对 1996～ 2 0 0 0年新登记涂阳肺结核病人进行分析。结果 武钢 1996～ 2 0 0 0年新登记活动性肺结核病人 82 0例 ,其中涂阳 2 95例 ,新登记率分别为 19.4 / 10万、2 2 .5 / 10万、2 8.8/ 10万、34.0 / 10万、31.9/ 10万 ,呈逐年上升的趋势。初治涂阳肺结核病人治愈率分别为 97.1%、97.3%、96 .4 %、97.0 %、10 0 %,复治涂阳肺结核病人治愈率分别为 85 .7%、10 0 %、85 .7%、87.4 %、10 0 %,均达到项目要求。结论 初、复治涂阳肺结核病人治愈率升高是因为行政干预、加强防治宣传、强调依法归口管理和 DOTS策略得到落实。

Objective To analyse the curative effect of newly registered and recurrent smear oisutuve cases with pulmonary tuberculosis.Methods Cohort analysis were done in the smear positive cases with pulmonary tuberculosis in 1996～2000. Results 820 cases with active pulmonary tuberculosis were ,newly registered,in which 295 cases were smear position,the newly registered rate were 194.4/100,000,22.5/100,000,28.8/100,000,34.0/100,000 and 31.9/100,000.The curative rate of new smear positive cases were 97.1%,97.3%,96.4%,97.0% and 100%.Conclusion It's very important to strengthen propaganda and government interference,to stress on patients' classified management is necessary and efficient.The DOTS measure is very important too.