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目的了解2002~2008年鄯善县肺结核病例发病状况及治疗转归。方法分析2002~2008年门诊发现并登记确诊的初治涂阳与复治涂阳病例。结果2002~2008年共发现涂阳病例639例,涂阳登记率由2002年的34.6/10万上升至2008年的49.3/10万。其中初治涂阳512例,复治涂阳127例,初治涂阳男女之比为1.1∶1,年龄集中在15~35岁。初治涂阳与复治涂阳平均治愈率分别为93%和78%。结论政府承诺及认真贯彻执行DOTS策略是做好结防工作的关键。鄯善县结防工作取得一定成绩,但是加强涂阳病例的发现及全程督导化疗管理质量,改进管理措施,进一步提高涂阳新登记率及复治涂阳治愈率仍是今后工作的重点任务。
Objective To understand the incidence and treatment of pulmonary tuberculosis cases in Shanshan County from 2002 to 2008. Methods From 2002 to 2008, outpatients were diagnosed and diagnosed as newly diagnosed smear-positive smear and retreated smear-smear cases. Results A total of 639 cases of smear positive were found from 2002 to 2008. The registration rate of smear positive rose from 34.6 / 100 000 in 2002 to 49.3 / 100 000 in 2008. Among them, 512 cases were smear-positive and 127 cases were smear-positive respectively. The ratio of smear-positive men to women was 1.1: 1 and the age was 15-35 years old. The average cure rate of newly diagnosed smear and retreated smear were 93% and 78% respectively. Conclusion The government commitment and conscientious implementation of the DOTS strategy are the keys to doing a good job of check and defense. Shanshan County made some achievements in the prevention and treatment of tuberculosis. However, strengthening the detection of smear-positive cases and guiding the quality of management of chemotherapy throughout the entire process, improving management measures, and further increasing the new registration rate of smear positives and the cure rate of relapse and smear treatment are still the key tasks in the future.