2003～2005年南宁市区涂阳肺结核病人转归队列分析

The cohort analysis of smear-positive cases of pulmonary Tuberculosis from 2003 to 2005 at Nanning zone

目的分析南宁市区世界银行贷款结核病控制项目实施以来,初、复治涂阳肺结核病人的治疗转归情况,以评价本地区肺结核传染源控制效果,为结核病控制的可持续发展提供技术政策依据。方法以2003～2005年登记的涂阳肺结核病例为该年队列分析的对象,分析登记满1年时的转归。结果3年初治肺结核病人治愈率逐年提高,分别为94.5%、94.7%和95.7%,复治病人治愈率分别为81.0%、89.6%、87.4%。结论用队列分析评价肺结核传染源控制效果,全面反映南宁市区传染源控制的实际情况,DOTS策略的实施使初、复治涂阳肺结核病人的治愈率维持在较高水平。

Objective To analyze the cure outcome of smear-positive pulmonary tuberculosis at Nanning zone after implementing world Bank Loan TB control Project for estimating the control state of factious source and providing technique and policy support for sustaining development of TB control. Methods Analyzing the smear-positive pulmonary tuberculosis case from 2003 to 2005 with Cohort analysis and analyzing the cure outcome for 1 year. Result The curative rate of initial smear-positive cases with pulmonary tuberculosis increased in the past 3 years with the curative rate of initial smear-positive cases are 94.5 %, 94.7 % and 95.7% . The curative rate of recurrent smearpositive cases are 81.0%,89. 6% and 87. 4%. Conclusion The curative rate of initial treatment and retreatment smear-positive pulmonary tuberculosis were at a high level for implementing of Modem Tuberculosis Control Strategy （DOTS）.