【摘要】 目的分析盐城市肺结核病人的发现与治疗转归情况,为制定防治对策提供政策依据。方法根据盐城市2005-2009年结核病报表、管理信息系统,对病例发现及治疗转归进行队列分析。结果 5年间共新登记涂阳肺结核病人16 218例,涂阳新登记率、复治占活动性肺结核病人比均呈现下降趋势;复治涂阳治愈率显著低于初治涂阳病人,失败率和病死率显著高于初治涂阳病人;复治、初治涂阳病人病死率均显著高于初治涂阴病人;转诊和追踪成为病人发现的主要来源,尤其到2009年,已占发现病人的54.8%。结论 5年来盐城市肺结核病人的发现与治疗管理水平不断提高,成效显著,是应用现代结核病控制策略和采取多种措施的结果。需要注意的是,不能忽视35岁以上男性、34岁以下女性的防治;要采取措施降低病人不规则治疗率,重视未治愈和未完成疗程的患者。更多还原

【Abstract】 Objective To analyze the finding and treatment outcome of the pulmonary tuberculosis in Yancheng City,and to provide basis for outlining prevention and control countermeasures.Methods A cohort study was used for case-finding and treatment outcome in terms of pulmonary tuberculosis statements and management information system during 2005-2009 in Yancheng City.Results A total of 16 218 patients were new registration smear positive pulmonary tuberculosis.Both the rates of new registration of the smear positive patients and the retreating patient accounted for the activity pulmonary tuberculosis patient with downtrend.The cure rate of retreating positive patient was obvious lower than new positive patient;rates of failure and sick to death were significant higher than the new positive patient,which were all obvious higher than the new feminine patient.The referral and tracking became the main sources of patients found,especially in 2009,54.8% of which accounted for the discovery of pulmonary tuberculosis patient.Conclusion Due to the results of the application of modern TB control strategy and adopting diversified measures,the levels of discovery and treatment management for pulmonary tuberculosis patient have raised consequently and have made remarkable achievements from 2005 to 2009 in Yancheng,however,attention should be paid for treating above 35 years of male and below 34 years of female.It needs to take the measure to reduce the rate of anomalous treatment for patient,and attach importance to the patients of not cure or not complete the course of treatment,which needs the support of government public policy.更多还原