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[目的]探讨肺结核病人实施DOTS策略结核病控制的特征性,提高DOTS策略实施质量。[方法]在实施DOTS策略下,研究肺结核病人的基本状况、治疗、管理、效果及其评价等结核病控制的特征性。[结果]肺结核病人接受健康教育率为93%;涂阳肺结核病人全程督导管理率为96.4%,其治愈率为90.3%;总耐药率为21.1%,多耐药率为5.2%;分子流行病学分析,成簇率为70%,其中山东簇为22%;流行病学相关率(Epi-Link)为32.5%。[结论]结核病控制特征性模型的建立,为提高DOTS策略实施质量提供了决策性参考;分子流行病学分析可作为DOTS策略实施效果评价的客观指标。
[Objective] To investigate the characteristics of tuberculosis patients implementing DOTS strategy for tuberculosis control and improve the quality of DOTS strategy implementation. [Methods] Under the DOTS strategy, we studied the characteristics of tuberculosis control such as the basic condition, treatment, management, effect and evaluation of patients with tuberculosis. [Results] The rate of receiving health education for tuberculosis patients was 93%. The overall supervision rate of smear-positive pulmonary tuberculosis patients was 96.4%, the cure rate was 90.3%, the total drug resistance rate was 21.1% and the multi-drug resistance rate was 5.2% According to the analysis of the disease, the clustering rate was 70%, among which Shandong cluster was 22%. The epidemiological correlation rate (Epi-Link) was 32.5%. [Conclusion] The establishment of the characteristic model of TB control provides a decision-making reference for improving the quality of DOTS strategy implementation. Molecular epidemiological analysis can be used as an objective indicator of the effectiveness of DOTS strategy implementation.