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目的通过对奎屯市2010—2013年涂阳肺结核病患者控制效果分析,了解奎屯市实施结核病控制近4年来的工作情况,评价直接督导下短程化疗(DOTS)策略实施效果。方法严格按照《中国结核病防治规划实施工作指南(2008)》的要求,在全市5个街道办事处、1个牧业乡实施结核病控制工作,各项工作指标的收集与统计资料来源于结核病门诊初诊病人登记本、结核病人登记本、实验室登记本、季报表和年报表。结果涂阳病人2个月末痰菌阴转率为94.5%,活动性肺结核病人登记数完成上级任务指标,治愈率达到96%,没有出现复治涂阳患者增多的趋势。结论 4年来,奎屯市实施结核病控制工作效果显著,现代结核病控制策略是保证高发现率、高治愈率的基础,DOTS策略的实施有效遏制了本市结核病疫情。
Objective To analyze the control effect of smear-positive pulmonary tuberculosis in Kuitun City in 2010-2013 and to understand the work of tuberculosis control in Kuitun City in recent 4 years and to evaluate the effect of DOTS strategy under direct supervision. Methods In strict accordance with the “Guidelines for the Implementation of TB Prevention and Cure Program in China (2008)”, TB control work was carried out in 5 neighborhood offices and 1 livestock husbandry in the city. The collection and statistical data of various work indicators were collected from the outpatient clinic of tuberculosis Patient register, register of tuberculosis, laboratory register, quarterly report and annual report. Results smear-positive patients at the end of 2 months the sputum negative conversion rate was 94.5%, the number of active pulmonary tuberculosis registration tasks to complete the higher level, the cure rate reached 96%, there is no increase in the number of patients with re-treatment smear-positive trend. Conclusions In the past four years, the implementation of TB control in Kuitun City has achieved remarkable results. The modern TB control strategy is the basis for ensuring a high detection rate and a high cure rate. The implementation of the DOTS strategy has effectively contained the TB epidemic in the city.