全人口涂阳发现肺结核和DOTS策略的效果评价  

EVALUATION OF THE STRATEGIES ADMINISTERED IN SHENZHEN NANSAN OF FINDING PULMONARY TUBERCULOSIS OF SMEAR-POSITIVE FROM ALL POPULATION AND THE EFFECTION OF DOTS.

作　　者：赵锦 王健 

机构地区：[1]深圳市南山区卫生防疫站,518054

出　　处：《现代预防医学》2001年第4期530-532,共3页Modern Preventive Medicine

摘　　要：目的 :评价实施全人口涂阳肺结核发现和 DOTS (短程督导化疗 )策略对加速疫情控制的效果。方法 :通过涂阳肺结核发现、登记、化疗管理和效果指标的连续观察分析和深圳市首尾两次结核病流调结果 ,评价我区结控项目实施全人口涂阳肺结核发现和 DOTS策略对加速疫情控制的效果。结果 :1995～ 2 0 0 0年涂阳新登记率户籍和暂住分别提高了16 8.0 %、 6 4.1%;涂阳肺结核发现率户籍和暂住分别由 12 .5 / 10万、 18.4/ 10万提高至 33.5 / 10万、 45 .0 / 10万 ;初治涂阳治愈率户籍 10 0 %,暂住为 97.8～ 10 0 %;传染源发现—治疗总效果提高了 10 4.3%,全市涂阳患病率户籍、暂住分别由 1991年的 118/ 10万、 131/ 10万下降到 2 0 0 0年的 5 2 .1/ 10万和 80 .4/ 10万。结论 :实施全人口涂阳肺结核发现和 DOTS策略对加速我区肺结核疫情控制效果显著。Objective:To evaluate the effects of manegement of pulmonory tuberculosis of smear-position from all population the effect in 'DOTS' controlling tuberculosis in Nanshan district,Shenzhen city.Method:Through obseve and analysis dyuanic to finding of smear positive cases and effect index,and twice result of tuberculosis investegation of crossseetional stndies.To evaluate the effection of epidemic situation for finging pulmonary tuberculosis of smear positive from all pupulation and DOTS resource.Results:The new registration rate of smear postive pulmonary tuberculosis was respectively inereased 168.0% and 64.1% in constant and temporary people.The rate of smear positive pulmonary tuberculosis constant and temporary people increased from 12.5 and 18.4 to 33.5 and 45.0 per 100000 respectively.The caring rate of smear positive tuberculosis first treated constant was 100%,and the temporary was between 97.8～100%.The caring effect of infect fountain had been found-treated was increased 104.3%,the rate of smear positive constant and temporary people decreased from 118 and 131 in 1991 to 52.1 and 80.4 in 2000 per 100000.Conclusion:There were good result on finding pulmonary tuberculosis of smear positive and on DOTS strategies.These stratagem on controlling tuberculosis are very remarkable.

关 键 词：预防 控制 肺结核 流行病学 DOTS 

分 类 号：R521.01[医药卫生—内科学]