珠海特区初、复治涂阳肺结核病人登记及治疗转归队列分析

The cohort analysis of smear positive cases of pulmonary tuberculosis in Zhuhai special economic zone,1992～1998

分析珠海特区世界银行贷款结核病控制项目实施以来的初、复治涂阳肺结核病人的治疗转归情况 ,为结核病控制的可持续发展提供技术政策依据。方法 采用队列分析法对 1992～1998年登记管治的初复治涂阳肺结核病人进行分析。结果 珠海特区本地新发涂阳肺结核病人登记率和初、复治涂阳肺结核病人治愈率逐年提高 ,治愈率分别由 1993年的 73 0 % (初治 )、6 5.0 % (复治 )提高到 1998年的 98.0 % (初治 )和 95.8% (复治 )。暂住初治涂阳肺结核病人治愈率逐年升高 ,由1997年的 73 6 %提高到 1998年的 85 4 % )。结论 初、复治涂阳肺结核病人治愈率逐年升高主要是因为行政干预、加强防治宣传、强调依法归口管理和DOTS策略得到落实。

Objective To analysis the curative effect of smear positive cases with pulmonary tuberculosis.Methods Cohort analysis were done in newly registered and recurrent smear positive cases with pulmonary tuberculosis in 1992～1998.Results The curative rate of new smear positive cases with pulmonary tuberculosis increased from 73.0% in 1993 to 98.0% in 1998 and the recurrent smear positive cases with pulmonary tuberculosis increased from 65.0% in 1993 to 95.8% in 1998.Meanwhile,the cure rate of new smear positive cases with pulmonary tuberculosis in floating population increased from 73.6% in 1997 to 85.4% in 1998.Conclusion It's very important to strengthen propaganda and govemment interference and stressing on pulmonary tuberculosis patients'classified management is necessary and efficient.The DOTS measure is very important too.