龙岩市1995～2000年涂阳肺结核病人随访研究

THE FOLLOW-UP ANALYSIS OF SMEAR POSISTIVE CASES OF PULMONARY TUBERCULOSIS IN LONGYAN CITY OF FUJIAN DURING 1995～2000.

目的 :分析福建省龙岩市结核病控制五年效果。为结核病控制可持续发展提供技术政策依据。方法 :收集并分析 1995年～ 2 0 0 0年福建省龙岩市肺结核月报表和年报表及有关资料。采用队列分析方法对登记治疗管理的初、复治涂阳肺结核病人进行分析。结果 :1995年～ 2 0 0 0年涂阳肺结核病人发现率从 4.9/ 10万上升到 2 2 .7/ 10万 ;初治涂阳治愈率从6 3.4%上升到 95 .8% ;复治涂阳病人治愈率从 5 0 %上升到 85 .6 %。结论 :涂阳肺结核病人的高发现率和高治愈率是因为1999年开始实施结核病归口管理和 DOTS策略。

Objective:To analyze the effect of tuberculosis control work in Longyan city of Fujian during 1995~2000.Methods:A follow-up analysis was done for nearly registered and recurrent smear positive cases with pulmonary tuberculosis during 1995～2000.Results:The rate of new smear positive case-finding increased from 4.9/10 5 in 1995 to 22.6/10 5 in 2000.The curative rate of new smear positive cases with pulmonary tuberculosis increased from 63.4% in 1995 to 95.8% in 2000,and the recurrent smear positive cases with pulmonary tuberculosis increased from 50% in 1997 to 85.6% in 2000.Conclusion:These resulted from pulmonary tuberculosis patients's classified management and having DOTS measure,the tuberculosis control work should continue to be developed.