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目的评价陕西省西安市2003-2008年世界银行贷款/英国赠款结核病控制项目中涂阳肺结核病人的治疗转归情况,为结核病控制提供技术政策依据。方法分析2003-2008年全市各区(县)疾病预防控制中心新登记的涂阳肺结核病例,治疗满1年的转归情况。结果 2003-2008年西安市常驻人口新登记活动性肺结核病例共27 996例,涂阳病例12 974例,其中新发涂阳病例9 685例,占74.7%主要为青壮年男性,农民占52.9%;治疗满1年的涂阳肺结核11 603例,平均治愈率为90.5%,完成疗程5.3%,未愈0.7%,死亡0.8%,丢失0.8%,迁出1.4%,其他0.6%。结论队列分析显示,2003-2008年西安市结核病治疗管理规范,传染源得到有效控制。
Objective To evaluate the treatment outcomes of smear positive pulmonary tuberculosis patients in World Bank Loan / British Grants Tuberculosis Control Project in Xi’an from 2003 to 2008 in Shaanxi Province, and provide technical and policy basis for tuberculosis control. Methods The cases of smear positive pulmonary tuberculosis newly registered in all districts (counties) of CDC from 2003 to 2008 were analyzed, and the outcome of one year of treatment was analyzed. Results A total of 27 996 cases of newly registered TB cases were reported in resident population in Xi’an from 2003 to 2008, including 12 974 cases of smear positive smear, of which 9 685 cases were newly smeared positive smear, accounting for 74.7% of them were young and middle-aged men and 52.9% were farmers %. Treatment of 11 603 cases of smear positive pulmonary tuberculosis over one year achieved an average cure rate of 90.5%. Complete course of treatment was 5.3%. Unfinished patients were 0.7%, died 0.8%, lost 0.8%, moved out 1.4% and others 0.6%. Conclusions Cohort analysis showed that the code of infectious disease treatment and control of tuberculosis in Xi’an in 2003-2008 was effectively controlled.