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目的:分析评价DOTS策略效果。方法:对2004年至2009年登记的涂阳病人进行转归等主要指标分析。结果:渠县以乡为单位DOTS策略复盖率为100%,2004年至2009年累计登记活动性肺结核病人5681例,年均登记率为66.77%万。涂阳病人3415例,占60.11%,其中新发涂阳(初治)2904例,复治511例,初、复治病人治愈率分别为92.49%,88.06%。结论:通过DOTS策略的实施,使涂阳病人达到高度治愈率的效果。今后在实施DOTS策略的基础上,扩充相应的的政策和策略,确保结核病控制取得更好的效果。
Objective: To analyze and evaluate the effect of DOTS strategy. Methods: The main indicators of the smear-positive patients registered from 2004 to 2009 were analyzed. Results: The coverage rate of DOTS in rural areas was 100%. From 2004 to 2009, a total of 5681 active tuberculosis cases were registered, with an average annual enrollment rate of 66.77%. There were 3415 smear-positive patients, accounting for 60.11%. Among them, 2904 cases were smear-positive (initial treatment) and 511 cases were retreated. The cure rates of primary and re-treatment were 92.49% and 88.06% respectively. Conclusion: Through the implementation of DOTS strategy, smear-positive patients achieve a high cure rate. Based on the implementation of the DOTS strategy in the future, we will expand corresponding policies and strategies to ensure better control of TB.