影响湖北省结核病人的初复治比例因素的分析

Analysis of factors on affecting initial/retreatedcase finding ratio of tuberculosis cases in Hubei province

目的 了解复治病人形成原因。方法 调查六县 （ 市） １９９６ 年～１９９７ 年登记的复治病例的病史和用药史了解复治病人形成原因。结果 六县 （ 市） １９９６ 年及１９９７ 年登记的复治病人中３６３ ％ 和２６０ ％ 是结核病控制项目启动前形成的， ６３７ ％ 和７４０ ％ 是项目启动后形成的， 其中２７７ ％ 和３５５ ％ ，３４４ ％ 和３８９ ％ 是综合性医院和基层卫生院治疗不当所致。结论 复治病人形成的主要原因是： １ ． 结核病控制项目实施周期较短， 仍有部分项目启动前造成的复治病人未被发现， ２ ． 综合性医院截留。

Objective Finding out the causing reasons of retreated patients . Methods By looking throughthe history of retreated patient registered in 6 counties/cities from 1996 to 1997 , to find out the causing reasons . Results There are 36 . 3 % and 26 . 0 % produced before the T Bcontrol project loaned by World Bank in 1996and 1997 , respectively . 63 . 7 % and 74 . 0 % after the project . Am ong them , 27 . 7 % , 35 . 5 % and 34 .4 % , 38 . 9 % are caused by mistreatm ent at general hospitals and tow nship hospitalsin 1996 and 1997 respective ly . Conclusion The main reasons as follows : 1 . The action period of the project is very short . Many patientswho have suffered from T Bbefore the project have not been found right away . 2 . General hospitals and townshiphospitals have been retained the patients .