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目的评价中国结核病控制规划项目在尚志市实施6年半期间的经验,不足之处为以后的工作提供更好的思路和方法。方法根据规划项目工作季报表,具体分析,初诊患者的来源,及肺结核患者检出分类;新涂阳患者的治疗队列分析,配套资金及使用情况。结果经过季报表汇总分析,初诊患者来源中就诊和转诊占患者来源的总数的89.2%,新涂阳患者治疗率88.58%,配套经费的到位率88.54%,达到标准,成果明显。结论发现患者的主要方式,仍以患者就诊及转诊为主,应加大乡、村基层人员培训,改善患者服药的依从性,减少不良反应的发生,加强全身体检避免因其他原因导致死亡病例出现,加强政府投入,增加配套资金的到位率,保证经费的合理使用。
Objective To evaluate the experience of China’s tuberculosis control program during its 6 and a half years of implementation in Shangzhi City. The inadequacies provide better ideas and methods for future work. Methods According to the working quarter report of the planning project, the specific analysis, the source of the newly diagnosed patients and the detection and classification of tuberculosis patients; treatment cohort analysis, matching funds and usage of new smear positive patients. Results After the quarterly report summary analysis, the origin and treatment of referral patients accounted for 89.2% of the total source of patients, the new smear positive treatment rate of 88.58%, supporting funds in place rate of 88.54%, to the standard, the results are obvious. Conclusions The patients were found to be mainly treated and referred mainly to patients. The training of grass-roots staff in township and village should be increased to improve the compliance of patients and reduce the incidence of adverse reactions. The whole body examination should be strengthened to avoid deaths caused by other reasons Appear, strengthen the government investment, increase the rate of supporting funds in place, to ensure the rational use of funds.