2002～2005年霍山县肺结核病转归情况分析

Analysis on Treatment Outcome of Pulmonary Tuberculosis in 2002～2005 in Huoshan City

目的 分析2002～2005年霍山县肺结核病治疗转归结果,为结核病防治提供依据。方法 收集并分析2002～2005年霍山县结核病季报表、年报表、结核病病人登记本、传染病报告卡等有关资料进行分析。结果 新涂阳肺结核病人的治愈率从2002年的54.83%提高到2005年的85.09%;复治涂阳病人的治愈率从2002年的28.13%提高到2005年的75.86%;对初治涂阴病人给予免费抗结核药物治疗,可以显著提高疗程完成率（P〈0.05）;新涂阳病人的治愈率无明显性别差异（P〉0.05）;35～44岁和0～14岁年龄组治愈率较高,教师和工人的治愈率较高。结论 霍山县控制结核病效果显著。保持较高治愈率水平的关键在于落实DOTS策略和提高DOTS质量。

Objective To analyze treatment outcome of pulmonary tuberculosis in 2002 -2005 in Huoshan county and provide the basis for making policy of TB control. Method The data from TB quarterly, annual reporting system and tuberculosis patient register, reporting card of infectious disease and other related information during 2002 - 2005 in Huoshan county was collected and analyzed. Results The cure rate of new smear positive cases was raised from 54.83% in 2002 to 85.09% in 2005. The cure rate of re - treatment smear positive cases was raised from 28.13% in 2002 to 75.86% in 2005. The initial treatment smear negative cases had been treated with Anti - tuberculosis drugs, the rate of compliment their treatment courses was raised （ P 〈 0.05 ）. There was no significant difference on the cure rate of new smear positive cases between male and female cases, but the cure rate in the group of 35-44 years old cases and 0 - 14 years old cases was higher than that in other age group. The cure rate of teacher and worker was higher than that of other occupation. Conclusion The performance of TB control in Huoshan had been improved. Implemntation of DOTS and quality improvement of DOTS are still the key to keep the higher level of cure rate.