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目的分析福鼎市涂阳肺结核病人发现与治疗转归情况,为结核病防治工作提供参考。方法根据2005～2008年结核信息管理报表数据,运用队列研究分析。结果在登记的涂阳肺结核病例中,初治涂阳登记率保持在较高水平并相对稳定,复治涂阳与总体涂阳登记率登记率呈下降趋势,初、复治涂阳病人比例为1:0.11。2个月与3个月痰检阴转率较高,满疗程治愈率达到85%以上,未治愈的病人中,其他(毒副反应停药、拒治)所占比例高于其他原因未治愈病人。结论结核病防治规划实施已步入正轨,涂阳肺结核病人的发现率和治愈率均达到较高水平,直接面视下短程化学疗法(DOTS)疗效显著可靠。
Objective To analyze the detection and treatment outcome of smear-positive pulmonary tuberculosis in Fuding city and provide references for the prevention and treatment of tuberculosis. Methods According to the data of tuberculosis information management from 2005 to 2008, we use the cohort study and analysis. Results In the cases of smear-positive pulmonary tuberculosis registered, the registration rate of smear-positive treatment was maintained at a relatively high level and relatively stable. The enrollment rate of smear-positive smear and overall smear-positive enrollment rate showed a decreasing trend. The proportion of smear-positive patients 1: 0.11.2 months and 3 months higher sputum examination negative conversion rate, the full course of cure rate of 85% or more, the untreated patients, the other (side effects of drug withdrawal, refusing treatment) higher than the proportion of Other reasons not cured patients. Conclusion The implementation of tuberculosis prevention and control program has been put on the right track. The detection rate and cure rate of smear positive pulmonary tuberculosis patients have reached a high level. The effect of short course chemotherapy (DOTS) under direct visualization is remarkable and reliable.