深圳市结核病管治模式及效果分析

Research on management & treatment mode and its effect of pulmonary tuberculosis patients among external population is shenzhen

目的 探索深圳市结核病管治模式。方法 将外来人口纳入区域结核病防治规划，与本市户籍人口结核病一样实行DOTS管理。结果 1993～2004年初诊检查可疑肺结核95948例，其中综合医院转诊69774例、占初诊总数的72％。1993年至2004年登记初治涂阳肺结核12396例，2月末痰菌阴转11079例、阴转率89．4％，3月末痰菌阴转11870例、阴转率95．8％。1993年至2003年登记初治涂阳肺结核10496例，治愈10027例、治愈率95．5％。结论 将外来人口纳入结核病控制项目、有利于区域结核病疫情控制，有效降低了疫情。

Objective To explore a suitable management ＆ treatment mode of pulmonary tuberculosis patients in shenzhen city, Methods The external pipulation was brought into tuberculsis management project and cost freedirectly observed treatment short course （DOTS） was conducted on them as population with residence card＇s, Results 95948 first-visit suspected pulmonary tuberculosis patients were detected from 1993 to 2004 and among these patients 69774 referred cases were from general hospitals, which is 72% of total suspected cases. 10496 newly diagnosed sputum positive tuberculosis patients wwre registered from 1993 to 2004. Among these patients,the sputum conversion rate was 89.4% at the end of February and 95.8% at the end of March and the cure rate was 95.5% from 1993 to 2003. Tuberculosis was effectively controlled in external population and tuberculsosis epidemic situation was effectively controlled, Multiple drug resistance rate was reduced from the result of surveillance for tuberculosis bacteria drug resistence. Conclusion Tuberculosis epidemic situation was effectively controlled and multiple drug resistance rate was reduced after external population was brought into tuberculosis management project.