2002～2007年连云港市海州区肺结核病人管理与治疗情况分析

Analysis of Management and Treatment for Tuberculosis Patients in Haizhou District,Lianyungang City during 2002-2007

[目的]了解析结核病控制项目的实施对结核病防治工作的推动作用,使以后的结核病控制工作得到进一步完善。[方法]对连云港市海州区结核病控制项目实施前（2002-2004年）和实施期间（2005-2007年）结核病防治资料进行对比、分析。[结果]项目实施前合计登记活动性肺结核病人121例,其中涂阳病人13例;项目实施期间合计登记活动性肺结核病人272例,其中涂阳病人206例。涂阳肺结核登记率与涂阳病人所占比例,项目实施期间分别为50.87/10万和75.74%,实施前分别为3.27/10万和10.74%（P〈0.01）;项目实施后结核病人的督导管理率达到90.29%,治愈率达93.01%。[结论]结核病控制项目的实施,提高了肺结核病人的发现率与督导管理率。

[Objective]To Study and analyze the role of implementation of tuberculosis control project so that TB control program will be further improved in the future, [Methods]Comparative analysis of TB control and treatment information before the implementation of the program （2002-2004） and during the implementation of the program （2005-2007） in Haizhou district,Lanyungang city was conducted. [Results]Before tb.e implEmEntation of the program, there were 121 cases of active tuberculosis patients, including 13 cases of smear-positive patients. In the period of the implementation of the program there were 272 cases of active tuberculosis patients, 206 cases of smear-positive patients. Registration rate and percentage of smear-positive patients was 50.48/100 000 and 75.74% respectively during the implementation of the program,while before the program implementation 3.27/100 000 and 10.74 % （ P 〈0.01） respectively. After the implementation of the program,the rate of supervision and management of tuberculosis patients was 90.29 % ,with the cure rate of 93.01%. [Conclusion]The detection rate of tuberculosis patients and the rate of supervision and management of the patients were improved after the implementation of the program.