204例复治涂阳肺结核成因分析  

Analysion Contributing Factors of 204 Retreated Smear-positive Pulmonary Tuberculosis Cases

作　　者：邓成军[1] 赵勤[1] 

机构地区：[1]四川省达州市结核病防治所,达州635000

出　　处：《预防医学情报杂志》2003年第4期301-303,共3页Journal of Preventive Medicine Information

摘　　要：目的　分析 2 0 4例新登记复治涂阳肺结核 ,为控制结核病疫情 ,预防复治涂阳肺结核病例的形成提供参考。方法　对在达州市通川区实施世界银行贷款结核病控制项目期间 ,各年新登记的复治涂阳肺结核病例从发现、形成的原因 ,初、复治比等方面进行分析。结果　乡镇卫生院和综合医院是转诊发现病例的主要单位 ,占 5 7 8% (118/ 2 0 4 )。肺结核病既往未治愈或复发是形成复治涂阳病例的主要原因 ,分别占 5 1 0 % (10 4 / 2 0 4 )和 33 8% (6 9/ 2 0 4 )。其中曾在非结防医疗机构接受过抗痨治疗的占 80 9% (16 5 / 2 0 4 )。初、复治涂阳病例比由 1996年的 1∶0 5降至 2 0 0 1年的 1∶0 2。结论　加强结核病归口管理 ,搞好全程督导管理 (DOTS)Objective To analyse the 204 cases of retreated smear positive pulmonary tuberculosis to streng then tuberculosis control and to prevent pulmonary tuberculosis patients from retreatment. Methods All newly registered retreated cases were collected since the World Bank Tuberculosis Control Project had been Factors of 204 Retreacarriedoutin Tong chuandistrict Da zhouduring the period from 1996to 200 1.The influence factors to forming retreated and the ratio of initially treated toretreated on smear positive pulmonary tuberulosis patients etc were retrospectively analysed .Results All the cases Nwere detected by clinical consultation of symptom .Rural health stations and general hospitals were the main detecting and transfering institutions (5 7 8% ) .The important factor stofor mingretreated were irregnlar treatment (5 1 0 % )and relapse (33 8% ) ,and most of the casesonce had been treated inclinics (80 9% ) .The ratioofinitially treated toretreated on casesdecreased year by year (1∶0 5in 1996 and 1∶0 2in 2 0 0 1) .Consulsions It is sug gested that diagnosing and transferring timely tuberculosis patients in general hospitals and rura lhealth stations and treating with directly observed treatment short courses (DOTS) by the Tuberculosis Control Center are effective ways for reducing the cases .

关 键 词：结核 肺 登记 归口管理 

分 类 号：R521[医药卫生—内科学]