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目的探讨上海市静安区涂阳肺结核患者治疗结果的流行病学情况及其影响因素,为更加有效地促进结核病防治工作提供依据。方法调查本区户籍在2005年至2007年上半年间被确诊登记并进行治疗的全部肺结核病例,采用SPSS 11.0统计软件进行数据分析。结果60岁及以上的患者治愈率明显低于60岁以下的患者。职业类别分析以离退休治愈率最低,其次是待业患者的治愈率。无合并症患者治愈率明显高于有合并症者。结论年龄、职业、合并其他疾病,是影响肺结核治疗的主要因素。应对重点人群——老年人和待业人员及有合并症的患者加强督导管理,并采取有针对性的治疗方案,同时开展形式多样的健康促进活动,有助于提高结核病控制和管理水平。
Objective To investigate the epidemiology and influential factors of the treatment outcome of smear-positive pulmonary tuberculosis in Jing’an District of Shanghai and provide the basis for more effective prevention and control of tuberculosis. Methods To investigate all cases of pulmonary tuberculosis diagnosed in the domiciliary register in this district from 2005 to the first half of 2007 and treated, SPSS 11.0 statistical software was used for data analysis. Results The cure rates of patients aged 60 years and above were significantly lower than those under 60 years old. Analysis of occupational categories to retire the lowest rate of retirement, followed by unemployed patients cure rate. The cure rate of patients without complications was significantly higher than those with complications. Conclusion Age, occupation and other diseases are the main factors affecting the treatment of tuberculosis. To strengthen the supervision and management of key populations - the elderly and unemployed persons and patients with comorbidities, and take targeted treatment programs, while carrying out a variety of health promotion activities, help to improve the level of tuberculosis control and management.