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目的分析江门市世界银行贷款结核病控制项目实施的初、复治涂阳肺结核患者的治疗及转归情况。方法采用队列分析对1994—2002年新登记涂阳患者进行分析。结果江门市1994—2002年新登记活动性肺结核患者17172例,其中涂阳患者11695例,新登记率由14.92/10万上升至34.18/10万;初治涂阳肺结核患者治愈率由85.14%提高到97.49%;复治涂阳肺结核患者治愈率由57.9%上升到92.45%;达到世界银行贷款中国结核病控制项目要求。结论初、复治涂阳肺结核患者治愈率升高是加强行政干预、依法归口管治、积极防治宣教和全程监督短程化疗(DOTS)策略得到落实的结果。
Objective To analyze the treatment and prognosis of smear positive pulmonary tuberculosis patients in Jiangmen World Bank Loan TB Control Project. Methods A cohort analysis was performed on newly registered smear-positive patients from 1994 to 2002. Results There were 17,172 cases of newly registered active pulmonary tuberculosis in Jiangmen City in 1994-2002, including 11695 cases of smear-positive patients, and the new registration rate increased from 14.92 / 100000 to 34.18 / 100000. The cure rate of newly diagnosed smear positive pulmonary tuberculosis was increased by 85.14% To 97.49%; the cure rate of smear positive smear positive pulmonary tuberculosis patients increased from 57.9% to 92.45%; and reached the requirement of World Bank Loan TB Control Project in China. Conclusions At first, the cure rate of smear-positive pulmonary tuberculosis patients in retreatment is the result of strengthening administrative intervention, administering according to law, actively preventing and treating missionary work and supervising the strategy of short-course chemotherapy (DOTS).