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目的分析新疆维吾尔自治区克孜勒苏柯尔克孜自治州实施结核病控制项目“现代结核病控制策略”(DOTS)6年的效果。方法对2003-2008年克孜勒苏柯尔克孜自治州结核病控制项目开展的资料和统计报表、年度总结、中期评估以及有关资料进行统计分析。结果 2003-2008年共发现涂阳肺结核患者2950例,涂阳登记率从2003年的103.4/10万下降到2008年的86.8/10万,下降了16.1%;新涂阳患者2257例,登记率由69.6/10万下降到66.3/10万,下降了4.7%;初治涂阳患者治愈率为91.8%,复治涂阳患者治愈率为81.5%;复治涂阳病例数及比例逐年下降。结论政府承诺及认真贯彻执行DOTS是做好结核病防治工作的关键。加强涂阳病例的发现及监督化疗管理质量,改进管理措施,进一步提高涂阳登记率及治愈率仍是今后工作的重点任务。
Objective To analyze the effect of implementing the TB control program “Modern Tuberculosis Control Strategy” (DOTS) for 6 years in Kizilsu Kirgiz Autonomous Prefecture in Xinjiang Uygur Autonomous Region. Methods The data and statistical reports, annual summary, mid-term evaluation and related data of TB control project in Kizilsu Kirgiz Autonomous Prefecture, 2003-2008 were statistically analyzed. Results A total of 2,950 smear positive pulmonary tuberculosis patients were found in 2003-2008. The registration rate of smear positive smear dropped from 103.4 / 100 000 in 2003 to 86.8 / 100 000 in 2008, down by 16.1%. There were 2257 new smear positive patients with registration rate From 69.6 / 100000 to 66.3 / 100000, a decrease of 4.7%. The cure rate of smear-positive patients was 91.8% and that of retreatment smear-positive patients was 81.5%. The number and proportion of retreatment smear-positive cases decreased year by year. Conclusion The government commitment and conscientious implementation of DOTS are the keys to TB control. Strengthening the smear-positive cases and monitoring the quality of chemotherapy management, improving management practices and further improving the registration rate and cure rate of smear-positive treatment are still the key tasks for future work.