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目的对新疆乌苏市监管场所羁押人员中肺结核病人的发现模式和治疗效果进行评价。方法采用结核病筛查、因症就诊和入监体检3种方式对2003~2007年羁押人员进行调查,对确诊的肺结核病人执行统一化疗方案。结果5年间共发现肺结核病人232例,通过入监体检发现病例数逐年提高;初、复治涂阳治愈率分别为77%和40%;涂阳病例中因治疗失败而未治愈的占70%;涂阴病例中因刑满释放而未完成疗程的占40%。结论3种发现方式和督导化疗管理工作,可以提高羁押人员肺结核病患者的发现率和管理水平,有效控制传染源,降低结核病在监管场所内的传播。
Objective To evaluate the detection patterns and treatment effects of tuberculosis patients in custody in Wusu City, Xinjiang Uygur Autonomous Region. Methods Three methods of TB screening, psychosis visit and medical examination were used to investigate the detainees from 2003 to 2007, and the unified chemotherapy regimen was performed on the confirmed TB patients. Results A total of 232 pulmonary tuberculosis cases were found during the five years. The number of cases was increased year by year. The cure rates of primary and secondary smear-positive smears were 77% and 40% respectively. In the smear positive cases, 70% ; Smear negative cases due to full release of the unfinished course of treatment accounted for 40%. Conclusions The three ways of discovering and supervising the management of chemotherapy can improve the detection rate and management level of tuberculosis patients in custody, effectively control the source of infection and reduce the spread of tuberculosis in the regulatory sites.