福建省畲族人群结核病流行与控制的实施性研究

目的　评价福建省畲族人群结核病流行与防治效果。方法 引用循证医学方法诊断病人,以病人发现、登记、治疗及其转归等项指标作为评价依据。结果 2000和2001年16个畲族乡共登记活动性肺结核315例,其中涂阳156(49.5%),复治涂阳占41.7%,青壮年病人占75.9%。肺结核新登记率分别为49.2/10万、52.5/10万;涂阳新登记率22.0/10万、28.3/10万;规则用药率91.8%,平均治愈率90.2%。结论 政府承诺把畲族人群作为重点扶持的弱势群体是改变畲族结防工作落后状况的关键,而规范化的诊疗和管理是提高病例发现与治愈水平的重要保证。

Research of prevalence and control TB in the She nationality of Fujian province

Objective To evaluate the effect of TB prevalence and control TB in the She nationality of Fujian Province. Methods The method of Evidence Based Medicine was used to diagnose cases, and taking the cases detect, register, treatment and the cases outcome as the evaluation basis. Results There were 315 active TB cases registered from 2000 to 2001 in 16 She towns, the smear posotive cases were 156(49.5%), among them, the ratio of re treatment’s was 41.7%, and the ratio of young men was 75.9%. The active tuberculosis register rates were 49.2/10⁵, 52.5/10⁵. The new smear positive register rates were 22.0/10⁵ 28.3/10⁵. Regular treatment rate was 91.8%. The average cure rate was 90.2%. Conclusion Government’ commitment of supporting the She people as the poor groups was the key to change the backward situation of TB prevention and control in She nationality, and the regular treatment and management was the assurance for improving the rates of detection and cure.