[目的]探讨利用城市卫生资源支援农村卫生,加强基层结防工作作用。[方法]从省直医疗卫生单位和全省11个地市医疗卫生单位中抽调熟悉医学知识,有卫生管理工作经验,有良好沟通能力的人员,组成结防督导组,经短期结防培训后,2005年1年派驻到全省县(市、区)督导结防工作,重点督导县综合医院结防工作以及和结防机构在肺结核病人诊断、报告、治疗和管理方面的协调和配合,建立规范化的肺结核诊断、报告、治疗和管理机制。[结果]通过派驻结防督导组,短期内县综合医院肺结核疫情报告率、肺结核病人查痰率、转诊率由督导前的64.5%、18.6%、12.1%,提高到督导后的96.9%、89.9%、84.8%。[结论]经培训后的省、市医疗卫生人员组成督导组到基层驻点督导工作,既解决了基层结防人力资源不足问题,又帮助规范了基层综合医疗机构结防工作,是利用城市卫生支援农村卫生行之有效的结防措施。 [Objective] To explore the use of urban health resources to support rural health and strengthen the work of prevention and control work at the grassroots level. [Methods] From the straight medical and health units and the province’s 11 cities and towns health care units in familiar with the medical knowledge, have health management experience, good communication skills of the staff to form a knot supervision group, after a short period of end of defense training In 2005, it was stationed in counties (cities and districts) in 2005 to supervise the prevention and control of epidemic diseases. The supervision and prevention work of county general hospitals was supervised and the coordination and cooperation with prevention and treatment institutions in the diagnosis, reporting, treatment and management of pulmonary tuberculosis patients were established. Standardized tuberculosis diagnosis, reporting, treatment and management mechanisms. [Results] The reporting rate of tuberculosis outbreaks, sputum sampling rate and referral rate of TB patients in county general hospitals in a short period of time were increased from 64.5%, 18.6% and 12.1% before supervision to 96.9% after supervision, 89.9%, 84.8%. [Conclusion] After training, the provincial and municipal medical and health personnel formed the steering group to supervise and supervise the grass-roots units, which not only solved the problem of insufficient human resources for basic-level prevention and control, but also helped to standardize the prevention and control of general medical institutions at the grass-roots level, Support rural health line effective defensive measures.