郑州市城区肺结核病人的发现和管理

目的　研究郑州市城区肺结核病人的发现和管理的发现和管理。方法 对 1996— 2 0 0 2年郑州市综合医院转诊情况及初治涂阳患者治疗转归情况进行队列分析。结果 结核病控制项目实施后初治涂阳病人治愈率显著提高 (87.4 % ) ,丢失率明显下降(0 .6 % ) ,综合医院转诊病人到位率低 ,平均为 32 .5 %。结论 加强行政干预 ,健全城市防痨网络 ,严格推行DOTS策略,是郑州市城区提高肺结核病人管理水平的基础。

Case-finding and treatment management for pulmonary tuberculosis cases in Zhengzhou city

Objective To study the case-finding and treatment management for pulmonary tuberculosis cases in Zhengzhou city.Methods To analysis and evaluate the tuberculosis refering situation from general hospitals and the treatment outcome of new-smear positive pulmonary tuberculosis cases in 1996-2002 based cohort analysis.Results The cure rate of new-smear positive pulmonary tuberculosis(87.4%) was increased ( P <0.05).The lose rate(0.6%)was reduced ( P <0.01),The success rate of referred TB patients from hospitals was 32.4%.Conclusion The foundation situation of tuberculosis control in Zhengzhou city for was follows:strengthened political intervention,perfecting three-level tuberculosis control network and implementing of the DOTS strictly.