1994—2002年江门市涂阳肺结核患者转归分析

COHORT ANALYSIS OF NEW SMEAR POSITIVE PULMONARY TUBERCULOSIS PATIENTS IN JIANGMEN FROM 1994 TO 2002

目的分析江门市世界银行贷款结核病控制项目实施的初、复治涂阳肺结核患者的治疗及转归情况。方法采用队列分析对1994—2002年新登记涂阳患者进行分析。结果江门市1994—2002年新登记活动性肺结核患者17172例,其中涂阳患者11695例,新登记率由14.92/10万上升至34.18/10万;初治涂阳肺结核患者治愈率由85.14%提高到97.49%;复治涂阳肺结核患者治愈率由57.9%上升到92.45%;达到世界银行贷款中国结核病控制项目要求。结论初、复治涂阳肺结核患者治愈率升高是加强行政干预、依法归口管治、积极防治宣教和全程监督短程化疗(DOTS)策略得到落实的结果。

Objective To analyze the curative effect of initial-treated and recurrent smear positive cases with pulmonary tuberculosis in Jiangmen's World Bank Loan Tuberculosis Control Project. Methods Cohort analysis were implemented in the newly registered smear positive pulmonary tuberculosis patients from 1994 to 2002. Results there were 17172 newly registered cases with active pulmonary tuberculosis, in which 11695 were smear positive. The notification rate was from 14.92/100,000 up to 34.18/100,000, the curative rate of new smear positive and recurrent smear positive were increased from 85.14 % to 97.49% and 57.9% to 92.45% respectively. Conclusion It is very important and necessary to strengthen government interference, convergence management ,publicizing to population and implementation of DOTS strategy to achieve the higher curative rate of initial treatment and recurrent pulmonary tuberculosis patients.