永州市结核病控制项目病人发现和治疗结果评析

THE EVALUATION AND ANALYSIS ON PATIENT'S DETECTION AND TREATMENT RESULT OF TB CONTROL PROJECT IN YONGZHOU PREFECTURE

目的：评价永州市结核病控制项目实施效果.方法：对永州市1993～2001年项目实施期间各种登记资料和报表进行分析和评价.结果：项目9年期间,全市累计检查可疑肺结核病人77 127人,可疑者年平均就诊率155.49/10万;累计发现涂阳肺结核病人14 912例,其中新发涂阳病人10 263例;初治涂阳病人平均治愈率为92.77%,复治涂阳病人平均治愈率为89.35%,初、复治比例逐年下降,病死率逐年下降.结论：提示病人发现、治疗与管理工作在项目实施前后有了质的变化.

Objective： To evaluate implementing result of TB Control Project in Yongzhou Prefecture. Methods： The recorded data and report forms during the period （1993-2001） of implementation of the project, were analyzed and appraised. Results： In the period of the program, 77 127 suspected pulmonary TB people were checked. The diagnostication rate is 155.49/100, 000 per year. The cumulative smear positive cases checked was 14 912, of which 10 263 smear positive cases were new. The average cure rate of first treatment of smear positive patients is 92.77 % and that of the re- treatment is 89.35 %. New - to - retreatment ratio as well as mortality declined year by year. Conclusion： Some obvious changes happened in case detection, treatment and management after the implementation of the project.