【摘要】 目的分析2001-2015年新疆昌吉州及克拉玛依市两地区活动性肺结核患者和涂阳肺结核患者登记及治疗转归情况,为评价两地区肺结核患者发现和治疗工作质量提供科学依据。方法收集新疆昌吉州及克拉玛依市两地区2001-2004年的纸质版《结核病登记管理卡》记录患者登记及2005年后全国结核病网络专报系统报告的肺结核患者的登记和治疗转归资料,采用SPSS 19.0软件分析两地区活动性肺结核患者登记率和新涂阳肺结核患者治愈率的变化。结果 2001-2015年昌吉州和克拉玛依市活动性肺结核患者平均登记率分别为53.43/10万和45.18/10万,差异有统计学意义(χ~2=54.32,P<0.05);新涂阳肺结核患者平均登记率分别为21.80/10万和17.68/10万,差异有统计学意义(χ~2=17.68,P<0.05);新涂阳肺结核患者平均治愈率分别为92.07%和93.63%,差异无统计学意义(χ~2=0.15,P>0.05);涂阴肺结核患者平均完成疗程率分别为94.29%和96.88%,差异无统计学意义(χ~2=0.34,P>0.05)。结论 2001-2015年新疆昌吉州与克拉玛依市两地区活动性肺结核及新涂阳肺结核患者登记率均呈下降趋势,提示两地区的结核病疫情得到了控制;两地区新涂阳肺结核患者平均治愈率均达国家要求,表明两地区患者治疗管理工作较为规范,但克拉玛依市要进一步加强定点医院职责,提高患者发现和治疗管理质量。更多还原

【Abstract】 Objective To analyze the registration and treatment outcomes of active tuberculosis( TB) and smear-positive tuberculosis in Changji Hui Autonomous Prefecture and Karamay City,Xinjiang during 2001-2015,and to provide a scientific basis for evaluating the quality of work regarding the case-finding and treatment of TB in the two regions. Methods We collected the information about TB patients registered in the printed-form TB Registration and Management Card in the two regions during 2001-2004 and the data about TB patients’ registration and treatment outcomes from the national network reporting system for TB since 2005. SPSS 19.0 software was used to analyze the changes in the registration rate of active TB cases and the curative rate of smear-positive TB cases. Results The average registration rates of the active TB cases in Changji Hui Autonomous Prefecture and Karamay City were 53.43/100,000 and 45.18/1,000,000 respectively,with a statistically significant difference( χ~2= 54.32,P<0. 05). The average registration rates of the new-registered smear-positive TB cases in the two regions were 21.80/100,000 and17.68/100,000,with a statistically significant difference( χ~2= 17.68,P< 0.05). The average curative rates of the new-registered smear-positive TB cases in the two regions were 92.07% and 93.63% respectively,showing no statistically significant difference( χ~2= 0.15,P>0.05). The average completed treatment rates of the smear-negative TB cases were 94.29% and 96.88% respectively,showing no statistically significant difference( χ~2= 0.34,P>0.05). Conclusions The registration rates of active TB cases and smear-positive TB cases in Changji Hui Autonomous Prefecture and Karamay City in 2001-2015 showed a downward tendency,suggesting that the TB epidemics in both regions were under good control. The average curative rates of new-registered smearpositive TB cases in the two regions both met the national demand,indicating normative treatment and management of TB patients.But the responsibility of the designated hospitals in Karamay City should be further intensified so as to improve the quality of work concerning case-finding,treatment and management.更多还原