1994—2006年西藏新发涂阳肺结核患者治疗转归分析

Treatment outcome analysis of new smear positive pulmonary tuberculosis patients detected from 1994 to 2006 in Tibet

目的分析和评价西藏自治区接受新发涂阳肺结核患者的治疗情况。方法查阅1994—2006年在西藏自治区7地(市)、74个县(区)、西藏自治区结核病防治研究所接受治疗管理的所有初治涂阳肺结核患者的治疗管理记录,分析初治涂阳病人的治疗结果。结果 1994—2006年初治涂阳肺结核患者采取全程管理短程化疗后的治愈率分别为33.3%、49.6%、48.0%、44.2%、67.1%、71.1%、82.3%、74.1%、82.5%、80.5%、76.5%、75.3%、81.3%。1994年DOTS策略覆盖率为0,1995年覆盖为5.30%,2005年起覆盖率达100%,结论 13年来大多数新发涂阳肺结核患者能够得到满意治疗结果 ,但离国家要求的85%治愈率还有差距,从中反映了对病人管理工作的重要性。

Objective To analyze and evaluate treatment outcome of new smear positive pulmonary tuberculosis patients in Tibet. Methods Treatment record of new smear positive pulmonary tuberculosis patients in 7 prefectures and 74 counties from 1994 to 2006 were searched, and treatment outcome was analyzed. Result From 1994 to 2006, cure rate was 33.3%, 49.6%, 48.0%, 44.2%, 67.1%, 71.2%, 82.3%, 74.1%,82.5%,80.5%, 76.5%, 75.3% and 81.3% respectively. DOTS coverage was 0 in 1994, 5.30% in 1995, and 100% in 2005. Conclusion In these 13 years, most of new smear positive patients could receive good treatment outcome, however, it is still far from 85% of national cure rate requirement. This reflects the importance of patient management.