新疆喀什地区结核病患者诊治管理现况研究分析  

Analysis on the management status of diagnosis and treatment for patients with pulmonary tuberculosis in Kashi prefecture of Xinjiang

作　　者：杨太华[1] 瓦哈甫.沙力 杨津民[1] 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,乌鲁木齐830002 [2]新疆维吾尔自治区青河县疾病预防控制中心

出　　处：《中国防痨杂志》2011年第10期663-665,共3页Chinese Journal of Antituberculosis

摘　　要：目的了解新疆喀什地区结核病防治工作现状,分析患者管理存在的主要问题、影响因素及发展趋势。方法每个县采用数字表法随机抽取2010年登记的治愈或完成疗程的活动性肺结核患者20例,结合报表分析。结果共调查结束疗程肺结核患者244例,发现治疗分类错误64例,占26.23%;实际完成规定疗程者172例,完成率70.49%;初诊查痰率77.87%(190/244),疗程结束查痰率20.90%(51/244);涂阳患者全程督导管理服药率为28.48%(43/151),自服药高达71.52%(108/151);患者在治疗过程中,接受过县级人员督导的占44.67%(109/244),接受过乡级人员督导的占60.25%(147/244)。结论分类概念不清,对痰菌发现、诊断治疗结核病的重要性认识不够,医务人员直接面视下服药率低,是导致喀什地区结核病疫情居高不下的重要原因。Objective To evaluate the status of tuberculosis prevention and control in Kashi prefecture and to analyze the main problems,affecting factors and trends in the management of patients with pulmonary tuberculosis. Methods Twenty patients with active pulmonary tuberculosis who were registered as cure or treatment completed in 2010 were randomly selected by digital table and analyzed with report forms in each county. Results Of 244 cases with treatment completed,64（26.23%） cases were classified with mistake and 172（70.49%） cases were treatment completed.The rate of sputum smear was 77.87%（190/244） at the beginning of diagnosis and was 20.90%（51/244） at the end of treatment.Of 151 cases with smear positive pulmonary tuberculosis,the rate of taking medicine observed by health worker or by themselves were 28.48%（43/151） and 71.52%（108/151）,respectively.109 cases were inspected by county level supervisor and 147 cases were inspected by township level supervisor among all patients Conclusion Case classification concepts unclear,lack of understanding on sputum bacteria finding,diagnosis and treatment of tuberculosis,and low DOTS are important causes which result to epidemic situation of tuberculosis seriously in Kashi prefecture.

关 键 词：结核 肺/药物疗法 病人医护管理 新疆[维吾尔自治区 

分 类 号：R521[医药卫生—内科学]