1993～1999年深圳市宝安区初治涂阳肺结核病人队列分析

The cohort analysis of new smear positive cases of pulmonary tuberculosis in Baoan district of Shenzhen in 1993～1999

目的 评价深圳市宝安区 1993～ 1999年常住、暂住初治涂阳肺结核病人直接督导化疗的转归。方法 1993～ 1999年门诊登记的初治涂阳包括暂住肺结核病人在内纳入结控项目同步管理。结果 共登记肺结核病人 336 0例 ,其中初治涂阳 16 93例。规则治疗率常住、暂住分别为 98.2 %和97.5 % ;治愈率常住、暂住分别为 97.4 %和 96 .7%。两者无显著性差异 (P >0 .0 5 )。结论 政府重视、经费到位和建立健全的三级防痨网 ,扎扎实实地推行DOTS ,包括暂住人口在内的肺结核病人能取得良好的疗效。

Objective To evaluate the DOTS effect of new smear positive cases with pulmonary tuberculosis in Baoan District, Shenzhen, 1993～1999.Methods The newly registered smear positive cases with pulmonary tuberculosis including temporary residents in 1993～1999 were supervised.Results 3360 cases with pulmonary tuberculosis were registered in Baoan District, in which 1693 cases were newly registered smear positive. The regular freating rates were 98.19% in permanent residents and 97.5% in temporary resident; the cure rates were 97.4% and 96.7%. There were no significant didfferent between permanent residents and temporary residents ( P >0.05). Conclusion The problems of controlling tuberculosis could be effectively solved, as long as the government attaching importance to it, the funds available, completing the three class tuberculosis control network and implementing steadfastly the DOTS measure.