西安市新涂阳肺结核病人转归队列分析  

Treatment outcome of new smear-positive cases of pulmonary tuberculosis in Xi'an city:a follow-up study

作　　者：尚淑琴[1] 韩跃玲[1] 

机构地区：[1]陕西省西安市疾病预防控制中心结核病防治科,710054

出　　处：《中国公共卫生》2010年第8期969-970,共2页Chinese Journal of Public Health

基　　金：世界银行贷款和英国赠款中国结核病控制(卫规财[2001]135号)

摘　　要：目的评价陕西省西安市2003-2008年世界银行贷款/英国赠款结核病控制项目中涂阳肺结核病人的治疗转归情况,为结核病控制提供技术政策依据。方法分析2003-2008年全市各区(县)疾病预防控制中心新登记的涂阳肺结核病例,治疗满1年的转归情况。结果 2003-2008年西安市常驻人口新登记活动性肺结核病例共27 996例,涂阳病例12 974例,其中新发涂阳病例9 685例,占74.7%主要为青壮年男性,农民占52.9%;治疗满1年的涂阳肺结核11 603例,平均治愈率为90.5%,完成疗程5.3%,未愈0.7%,死亡0.8%,丢失0.8%,迁出1.4%,其他0.6%。结论队列分析显示,2003-2008年西安市结核病治疗管理规范,传染源得到有效控制。Objective To evaluate the treatment outcome of new smear-positive pulmonary tuberculosis（TB） patients in Xi＇an since the implementation of TB Control World Bank Loan/UK Project Grants from 2003 to 2008 for sustainable development of TB contro1.Methods New smear-positive pulmonary tuberculosis cases registered by Centre for Disease Control and Prevention at every district（county） in Xi＇an city from 2003 to 2008 were followed-up and their trenatment outcome after a full year treatment were analyzed.Results There were 27996 newly registered cases of active pulmonary tuberculosis in the population of Xi＇an from 2003 to 2008.With 12924 smear-positive cases,9685 were new smear-positive cases（74.7%）.Of the new smear-positive cases,52% were young male farmers.Treatment of smear-positive pulmonary tuberculosis was completed in 11603 cases with an average yearly cure rate of 90.5%（10506/11603）.There were 616（5.3%）case with uncertain outcome at the completment of the treatment,79（0.7%）uncured,89（0.8%）dead,89（0.8%）lost to follow-up,and 160（1.4%）migrating to other residence.Conclusion Under tuberculosis trratment management norms,the source of infection is effectively controlled in Xi＇an.

关 键 词：肺结核 预防和控制 转归队列分析 

分 类 号：R181.32[医药卫生—流行病学]