肺结核归口管理对病例登记率和治愈率影响的分析

Analysis of effect to registration rate and cure rate on TB control project after centralized management of tuberculosis

目的 探讨肺结核病归口管理对提高病例登记率和治愈率的影响。方法 收集自 1993年世界银行贷款结核病控制项目在广东省肇庆市实施以来登记的有关病例发现和治疗资料进行分析。结果 涂阳新登记率、新 (复 )发涂阳新登记率分别从 1993年 17.6 2 / 10万和 7.6 2 / 10万提高至 1999年的 34.37/ 10万和 32 .4 6 / 10万 ,初治涂阳病例治愈率达 95 .6 %。

Objective To analyse the effect to improve the registration rate and cure rate on TB cases after centralized management of tuberculosis.Methods To collect and analyse all registration data about case finding and treatment of pulmonary tuberculosis cases since the World Bank Tuberculosis Control Project had been carried out in Zhaoqing city of Guangdong province in 1993. Results The smear positive registration rate and new case registration rate of smear positive pulmonary tuberculosis were 17.62/100?000 and 7.62/100?000 in 1993, and raised to 34.37/100?000 and 32.46/100?000 in 1999 respectively. The cure rate of newly diagnosed smear positive cases was 95.6%. Conclusion Centralized management of tuberculosis cases in an important procedure to improve the case fiding rate and cure rate.