论文部分内容阅读
目的评价常德市2001-2009年新涂阳肺结核患者的分布特征以及治疗转归情况。方法收集湖南省常德市2001-2009年中国疾病预防控制信息系统结核病管理信息系统以及相关登记资料、纸质文书、报表等材料,按照《中国结核病防治规划实施工作指南》[1]和其它相关要求进行统计分析。结果常德市2001-2009年新涂阳肺结核患者年登记率由2001年的21.00/10万上升到2009年的42.45/10万。分年龄组以55~64岁居第1位,其次是65岁以上年龄组,男女患者性别比例为2.66:1;年登记率超过40/10万的有临澧县、津市、澧县、石门县、桃源县。登记新涂阳患者全部接受治疗,新涂阳患者治疗2月末总体阴转率为95.8%,治疗3月末阴转率为97.6%;新涂阳肺结核患者总治愈率为89.99%,完成疗程率5.43%,治疗成功率95.42%。结论实施DOTS策略,可提高新涂阳肺结核患者的治愈率,减少结核病的传播。
Objective To evaluate the distribution characteristics of patients with new smear-positive pulmonary tuberculosis in Changde City from 2001 to 2009 and the treatment outcome. Methods The data of tuberculosis management information system of China CDC, 2001-2009, registration information, paperwork and statements were collected from Changde City, Hunan Province. According to the Guidelines for the Implementation of TB Prevention and Cure Project in China [1] and other related requirements conduct statistical analysis. Results The annual registration rate of new smear-positive pulmonary tuberculosis patients in Changde from 2001 to 2009 increased from 21.00 / 100,000 in 2001 to 42.45 / 100 in 2009. The age group of 55 to 64 years ranked first, followed by the 65-year-old age group, male and female patients with a sex ratio of 2.66: 1; the annual registration rate of 40/10 million in Lintao County, Tsu City, Pixian, Shimen County, Taoyuan County. Registration of patients with new smear-positive all received treatment, the new smear positive treatment at the end of February the overall negative conversion rate was 95.8%, the treatment of end of March negative conversion rate of 97.6%; new smear positive tuberculosis patients the total cure rate was 89.99%, the completion of the treatment rate of 5.43 %, The success rate of treatment was 95.42%. Conclusion The implementation of DOTS strategy can improve the cure rate of new smear-positive pulmonary tuberculosis patients and reduce the spread of tuberculosis.