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目的探讨医防合作模式开展结核病控制的效果。方法采取区疾控中心与区级医院合作的结核病控制模式,在区级综合医院设立结核病专科门诊,负责全区结核病人的诊治;区疾控中心结防科负责全区结核病控制的管理、业务培训、技术指导、病人督导及三级防痨网协调管理。结果 2004年7月～2010年12月共登记活动性肺结核病例1 238例,其中新登涂阳549例,新涂阳登记率从2004年的12.34/10万提高到2010年的25.32/10万。病人发现率、转诊到位率、治疗覆盖率、治愈率均逐年提高,2010年分别达到82.0%、92.8%、100%、91.9%。结论开展医防合作必须建立健全运作流程,防止病人诊治与督导治疗脱节。7年的实践证明医防合作开展结核病控制模式切实可行,值得推广。
Objective To explore the effect of cooperation between medical prevention and prevention on tuberculosis control. Methods Take TB control model of district CDC and district-level hospitals, set up TB specialist outpatient service in district-level general hospitals and be responsible for the diagnosis and treatment of tuberculosis patients in the district; TB control department of district CDC is responsible for the management of tuberculosis control in the district, Training, technical guidance, patient supervision and three prevention and control network coordinated management. Results From July 2004 to December 2010, a total of 1 238 active pulmonary tuberculosis cases were registered, of which 549 cases were newly smear positive and the registration rate of new smear was increased from 12.34 / 100000 in 2004 to 25.32 / 100000 in 2010 . The detection rate, referral rate, treatment coverage and cure rate all increased year by year, reaching 82.0%, 92.8%, 100% and 91.9% respectively in 2010. Conclusion To carry out the cooperation between medical treatment and prevention, we must establish and improve the operation procedure to prevent the patient from being out of touch with the supervision and treatment. Seven years of practice have proved that it is feasible and worthwhile to promote cooperation in medical prevention and TB control.