肺结核规范治疗及管理现状调查

目的调查贵州省遵义市肺结核治疗、督导、管理现状及影响因素,为该市肺结核规范督导、治疗提出改进措施。方法应用定量研究与定性研究相结合的方法,对肺结核患者进行问卷调查和深入访谈。结果该市肺结核发病率从2002年的149.93/10万上升至2007年的223.64/10万,选择到肺结核防治机构治疗的农村患者和城市患者分别占76.6%和72.7%;未进行督导管理的分别占31.7%和29.1%。结论应强化对该市肺结核的规范治疗。政府重视、改善基层医务人员待遇、提高基层医务人员素质、加强宣传教育、严格落实直接面视下短期督导治疗(DOTS)策略等是提高肺结核的规范治疗率主要措施。

Survey on treatment and administration for pulmonary tuberculosis patients

ObjectiveTo investigate the status,relative factors of treatment and administration of pulmonary tuberculosis patients in Zunyi city,and to find suitable way to perform DOTS.MethodsQuantitative and qualitative survey were carried out among tuberculosis patients.ResultsThe incidence of pulmonary tube rculosis was increased from 149.93/100 000 in 2002 to 223.64/100 000 in 2007.The ratios in the patients receiving the treatment service in the tuberculosis control institutions were 76.6% and 72.7% for rural and urban patients,respectively.While 31.7% of rural patients and 29.1% of urban patients were out of the treatment administration.ConclusionIt is imperative to improve the treatment administration for pulmonary tuberculosis patients.