天津市监狱局囚犯中肺结核病人的DOTS管理及效果分析

目的　评价监狱系统囚犯肺结核病人实施DOTS管理及治疗效果。方法 对2000年天津市监狱局囚犯中发现确诊的369例肺结核病人,实行直接面视下的短程化疗管理(DOTS),并分析其病情转归。结果 初治涂阳肺结核治愈率为93.8%,复治涂阳治愈率为69.2%;涂阳病人规律服药率为92.7%;涂阴病人规律服药率为90.1%。涂阳肺结核病人占全部确诊肺结核病人的14.9%;因释放停止治疗的肺结核病人占7.1%。结论 对监狱系统囚犯肺结核病人实施DOTS管理并取得了一定的成绩。

Analysis of effect in pulmonary tuberculosis with DOTS implemented

Objective To estimate the curative effect of pulmonary TB criminals with DOTS conducted at prison.Methods At Tian Jin Prison Bureau,369 cases pulmonary TB criminals were made diagnosis and conducted Directly Observed Treatment Short-Course(DOTS) by Tian Jin Tuberculosis Control Center in 2002,anthor observed and analysed prognosis of state of illness after course of treatment was over.Results The cure rate of initial smear-positive pulmonary TB criminals was 93.8%,The cure rate of retreated smear-positive cases was 69.2%;The regulating taking drugs rate of smear-positive cases was 92.7%;The regulating taking drugs rate of smear-negative cases was 90.1%.The smear-positive cases was 14.9% in all made diagnosis pulmonary TB criminals;It was 7.1% pulmonary TB criminals treat were to stop because they were set free.Conclusions There was a good effect for pulmonary TB criminals with DOTS.