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目的评价德宏州2005～2007年实施结核病控制项目效果。方法按照结核病项目要求宣传国家免费归口治疗政策,积极搜索和确诊病人,规范管理治疗病人。结果实施项目中发送宣传资料380447份,检查疑似肺结核病人6628例,就诊率2.08‰,肺部X线检查4378人,查出肺部病理改变者3083人,痰涂片镜检5282人,阳性953人,阳性率18.03%。管理和治疗病人922例,治愈837例,治愈率90.78%;死亡22例,病死率2.39%;外地人口治疗中迁出24例,占2.6%。结论德宏州实施结核病项目后,治愈了大批肺结核病人,仅有少数病人因合并其它疾病和产生耐药性未治愈。有效控制了结核病传染源及其危害,目前还有部分病例潜在,需继续依托项目加强防治。
Objective To evaluate the effect of implementing TB control program in Dehong from 2005 to 2007. Methods According to the requirements of the TB program, the national free centralized treatment policies were promoted, the patients were actively searched and confirmed, and the patients managed and treated were standardized. Results A total of 380,447 copies of publicity materials were sent out, 6628 cases of suspected pulmonary tuberculosis were examined, the visiting rate was 2.08%, 4378 of pulmonary X-ray examination, 3083 of lung pathological changes were detected, 5282 were sputum smear microscopy, positive 953 Person, the positive rate of 18.03%. 922 cases were managed and treated, 837 cases were cured, the cure rate was 90.78%, 22 cases died and the case fatality rate was 2.39%. Out of the population population, 24 cases were migrated, accounting for 2.6%. Conclusion After the implementation of tuberculosis project in Dehong Prefecture, a large number of tuberculosis patients were cured. Only a few patients were cured of other diseases and drug resistance. Effective control of the source of TB infection and its harm, there are still some cases of potential, need to continue to rely on the project to strengthen prevention and control.