新疆乌苏市羁押人员中肺结核发现模式及防治效果分析

Discovery Model and Analysis of Control Effect on Pulmonary Tuberculosis in Detained People in Usu City,Xinjiang

目的对新疆乌苏市监管场所羁押人员中肺结核病人的发现模式和治疗效果进行评价。方法采用结核病筛查、因症就诊和入监体检3种方式对2003-2007年羁押人员进行调查,对确诊的肺结核病人执行统一化疗方案。结果5年间共发现肺结核病人232例,通过入监体检发现病例数逐年提高;初、复治涂阳治愈率分别为77%和40%;涂阳病例中因治疗失败而未治愈的占70%;涂阴病例中因刑满释放而未完成疗程的占40%。结论3种发现方式和督导化疗管理工作,可以提高羁押人员肺结核病患者的发现率和管理水平,有效控制传染源,降低结核病在监管场所内的传播。

Objective To evaluate discovery model and control effect on pulmonary tuberculosis in detained people in Usu City,Xinjiang.Methods Three ways of tuberculosis screening,consultation because of the symptom and medical examination when entered into prison,were taken to investigate the detained people from 2003 to 2007.The confirmed patients with pulmonary tuberculosis were accepted unified chemotherapy scheme.Results In five years,there were totally 232 cases discovered with pulmonary tuberculosis.The discovered case number increased year by year because of medical examination when entering into prison.Curative rate of initial treatment and retreatment on smear-positive cases was 77% and 40%,respectively.Out of the smear-positive cases,the cases with treatment failure occupied 70%,while out of the smear-negative cases,cases unfinished treatment course due to discharge accounted for 40%.Conclusions The three discovery ways mentioned above and supervising and directing chemotherapy management can increase discovery rate and management level of pulmonary tuberculosis in detained people so as to control infection sources effectively,and decrease spread of tuberculosis in custody places.