天津市监狱系统推行现代结核病控制技术规范效果分析

摘要/Abstract

摘要： 目的总结和评价2000年5月至2003年5月期间在天津市监狱系统推行现代结核病控制技术规范的工作情况。方法通过普查和因症就诊的方式发现监狱内在押囚犯中肺结核病例。对确诊病例按照统一的化疗方案免费提供抗结核药品,由监狱系统的医务人员施行直接面视下的督导化疗,在规定时间复查痰涂片和胸部X线大片。天津市结核病控制中心的医务人员定期对各监狱结核病的治疗管理进行督导,在疗程结束时对病例化疗管理效果进行评价。结果3年间共发现涂阳病例86名,其中初治涂阳33例;涂阴681例,囚犯肺结核病患病率逐年大幅下降。初治涂阳病例治愈率93．9％,复治涂阳病例治愈率66％。结论3年间在监狱系统推行并落实现代结核病控制技术规范,有效控制了肺结核病在天津市监狱囚犯中的流行,在全国各地有条件的监狱系统应大力推广。

关键词: 结核,肺／预防和控制, 监狱

Abstract: Objective To summarize and evaluate the effect of implementation of contemporary tuberculosis control strategies in Tianjin prisons from May 2000 to May 2003. Methods The TB patients were found by overall survey and clinical consultation in prisoners, and were given the free, DOTS treatments according to the standard regimen by prison s doctors. The patients were examined regularly in preconcerted time. The doctors from the Institute of Tianjin Tuberculosis Prevention and Control monitored regularly and assessed the effects at the end of the treatment. Results Eighty-six patients were smear-positive, in which 33 were initial cases. 681 patients were smear-negative. The prevalence rate decreased rapidly year by year. The cure rates of smear-positive cases, initial cases, and retreatment cases were 76.7 % , 93.9 % and 66 % , respectively. Conclusion The TB prevalence in Tianjin prisons had been controlled by the implementation of contemporary tuberculosis control strategies during 3 years. This strategy should be implemented in other prisons in China.

Key words: Pulmonary tuberculosis /prevention and control, Prison.

李尚伦,傅衍勇,邹逸伟,赵德福,张长有,苏少辉,鲍万鹤,. 天津市监狱系统推行现代结核病控制技术规范效果分析[J]. 中国防痨杂志, 2007, 29(1): 44-47.

Li Shanglun , Fu Yanyong, Zou Yiwei, et al.. The effects of the implementation of Contemporary Tuberculosis Control Strategies in Tianjin Prisons during 3 years[J]. Chinese Journal of Antituberculosis, 2007, 29(1): 44-47.

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天津市监狱系统推行现代结核病控制技术规范效果分析

The effects of the implementation of Contemporary Tuberculosis Control Strategies in Tianjin Prisons during 3 years

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