351例涂阳肺结核患者的发现与治疗转归分析

351 smear positive pulmonary tuberculosis patients found and treatment outcome analysis

目的了解某地肺结核患病情况和治疗转归,以提高涂阳肺结核患者的发现率和治愈率。方法根据阿克陶县2010-2014年肺结核患者登记表、季报表和年报表,对涂阳肺结核患者发现和治疗转归情况进行分析。结果 2010-2014年共登记涂阳肺结核患者351例,其中初治涂阳248例,复治涂阳103例。平均涂阳患者登记率为338.14/10万,初治涂阳与复治涂阳治愈率分别为88.31%和75.73%。结论 5年以来,新疆阿克陶县结核病防治工作虽然取得了一定的成绩,但是涂阳肺结核病疫情仍然很重,复治涂阳肺结核患者的治愈率较低。需要加强涂阳肺结核患者的发现及全程督导管理治疗,提高治愈率,降低结核病疫情。

Objective To learn the prevalence of tuberculosis and the treatment outcomes in a certain area, for improving the detection and cure rates of the smear positive tuberculosis patients. Methods The conditions of detection and treatment outcomes of the smear positive tuberculosis patients were analyzed according to the records of tuberculosis patients between 2010 and 2014 in Akto, xinjiang. Results 351 smear positive tuberculosis patients were recorded between 2010 and 2014. 248 of them were initially detected and 103 were recruitable detected. The average registration rate of the smear positive tuberculosis patients was 338.14 patients/100 000 population. The recovery rates of initially detected smear positive pulmonary tuberculosis and recruitable detected smear positive pulmonary tuberculosis patients were 88.31% and 75.73%, respectively. Conclusion The recovery rate of recruitable detected smear positive pulmonary tuberculosis patients was relatively low, and the tuberculosis epidemic was still serious in last 5 years in Akto, Xinjiang. The effective measures for control of prevalence of tuberculosis such as detection smear of positive and full duration management and treatment to tuberculosis patients were needed.