2003-2007年阿坝州涂阳肺结核发现和治疗分析

Diagnosis and Treatment Condition of Smear Positive Pulmonary Tuberculosis Cases in Aba Prefecture from 2003-2007

目的了解2003-2007年阿坝州涂阳肺结核病例发现及治疗转归,为防治工作提供经验。方法分析2003-2007年门诊发现并登记确诊的初治涂阳与复治涂阳病例。结果2003-2007年共发现涂阳病例2 735例,涂阳新登记率由2003年的44.50/10万上升至2007年的72.32/10万。其中初治涂阳2 319例,复治涂阳416例,初治涂阳男女之比为1.89:1,年龄集中在15 35岁。初治涂阳与复治涂阳平均治愈率分别为84.65%、71.15%。结论加强涂阳病例的发现及督导化疗管理质量,改进管理措施,进一步提高涂阳新登记率及治愈率仍是今后工作的重点任务。

Objective To learn the diagnosis condition and treatment outcome of smear positive pulmonary tuberculosis cases in Aba Prefecture during 2003 - 2007. Method Initial treatment and retreatment smear positive pulmonary tuberculosis cases diagnosed and registered from outpatient departments during the period were analysed. Result 2 735 smear positive pulmonary tuberculosis cases were found during the period. The new smear positive registeration rate was from 44.5/100 000 in 2003 up to 72. 32/100 000 in 2007. In which initial treatment of smear positive was 2 319 cases and retreatment of smear positive 416 cases. The ratio of female to male was 1.89：1 in initial treatment. Ages was mostly 15 -35 years old Average cured rate of initial treatment and retreatment smear positive cased were 84.65% and 68.75% respectively. Conclusion The government promise and carrying out carefully DOTS strategy is the key measure of prevention and treatment of TB. ABa Prefecture government has procured definite achievement in prevention and treatment of TB. To strenthen the founding of smear positive cases and supervise chemotherapy quality and ameliorate management measures and heighten new smear positive registeration rate and cure rate are the key task in the future.