复治涂阳肺结核270例分析(1993年～1997年)

Retreated smear positive pulmonary tuberculosis during the period 1993 1997:Analysis of 270 cases

目的分析１９９３～１９９７年２７０例复治涂阳肺结核，为今后工作提供参考依据。方法收集世界银行贷款结核病项目实施以来本市登记的全部新登记复治涂阳肺结核病例，从病例发现方式、登记初、复治比、治疗情况等方面进行分析。结果全部病例均由因症求诊发现，以综合医院转诊发现为主（６３７％）。初治涂阳病例数与复治涂阳病例数之比呈逐年下降趋势（１９９３年为１∶１６，１９９７年为１∶０３），多数复治病例的形成与曾接受综合医院治疗有关。结论结核病归口管理是减少复治涂阳病例的有效措施。

Objective To analyse the 270 cases of retreated smear positive pulmonary tuberculosis during the period 1993 1997 in order to provide references basis for tuberculosis control.Method To collect all registered new and retreated smear positive pulmonary tuberculosis cases since the World Bank Tuberculosis Control Project had been carried out in Shunde city of Guangdong province.We analysed the items of case finding,the ratio of initially treated and retreated smear positive patients and others. Result All the registered cases were detected by clinical consultation of symptom.The general hospital were the main mode of detection(63.7%).The trend of ratio of initially treated and retreated smear positive patients was decreased year by year (1∶1.6 in 1993 and 1∶0.3 in 1997).The most of retreated cases were related to them who had been treated in general hospital.Conclusion It is an effective way to manage TB patients under TB Control Center for reducing the retreated smear positive pulmonary tuberculosis.