南方某部队肺结核综合防治效果观察

THE EFFECT OF PREVENTION AND TREATMENT FOR PULMONARY TUBERCULOSIS IN SOUTHERN ARMY

目的 :观察南方某部队肺结核综合防治效果 ,为制定适合南方部队特点的肺结核防治措施提供依据。方法 :于 1999年 5月～ 2 0 0 1年 6月 ,针对南方部队结核病发病危险因素 ,参照《军队结核病防治方案》 ,在南方某一部队采取综合防治措施 ,观察防治效果。同时选择另一未采取综合措施的部队同期结核病患病情况作平行比较。结果 :采取综合防治措施的观察部队 ,两年后活动性肺结核登记率从 15 7.32 / 10万下降为 78.6 6 / 10万 ;新患结核病登记率从 10 4 .88/ 10万下降为 2 6 .2 2 / 10万 ;结核菌阳性登记率从 5 2 .4 4 / 10万下降为 2 6 .2 2 / 10万 ;三个登记率综合防治前后比较均有统计学差异 (P <0 .0 1)。而对照部队结核病患病情况无显著变化。结论 :只要真正贯彻落实《军队结核病防治方案》内容 。

Objective:To observe the effects of prevention and cure for pulmonary tuberculosis(PTB) in a southern army and to provide basis for making suitable measures for the army to prevent and control PTB. Methods: By studying the risk factors of PTB, and referring 《The regimen of prevention and treatment for PTB in armies of China》,comprehensive measures about prevention and treatment for PTB were taken in a southern army from May 1999 to June 2001 and its effects were observed.In the meantime, another army without any measures was selected as control. Results: The registered rate of active PTB in the army after two year of comprehensive measures was decreased from 157.32 per 100 000 population to 78.66 per 100 000 population, the registered rate of new PTB patients in two years was down from 104.88 per 100 000 population to 26.22 per 100 000 population and the registered rate of positive TB bacteria detection was also dropped to 26.22 per 100 000 population from its original 52.44 per 100 000 population. All these changes were statistically significant (P<0.01). The incidence of PTB in the control army had no significant change. Conclusion: PTB in army could be effectively controlled, provided that 《The regimen of prevention and treatment for PTB in armies of China》 is strictly put into effect.