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目的分析2012-2014年宜昌市结核病医防合作实施效果,为今后结核病防治提供参考和建议。方法收集并分析2012-2014年宜昌市肺结核患者发现、初诊查痰、转诊追踪、耐药发现等指标。结果实施医防合作3年来,肺结核患者发现、治疗、管理各项指标均保持在较高水平,涂阴培养率从1.93%提高到73.95%,培养阳性患者数逐年增加;耐药筛查率从12.05%提升至96.97%,2014年耐药患者发现数是2012年的3.56倍。结论宜昌市结核病医防合作取得明显成效,但仍需提升定点医院诊疗水平。
Objective To analyze the effect of medical cooperation between TB and Yichang in 2012-2014 and to provide reference and suggestions for TB prevention and control in the future. Methods The indicators of pulmonary tuberculosis in Yichang City during 2012-2014 were collected and analyzed, including sputum aspiration, referral and follow-up, and drug resistance. Results In the three years since the implementation of medical cooperation, tuberculosis patients found that all indicators of treatment and management were maintained at a high level, the rate of smear negative was increased from 1.93% to 73.95%, the number of positive patients increased year by year; 12.05% to 96.97%. In 2014, the number of drug-resistant patients was 3.56 times that of 2012. Conclusion Yichang TB prevention and treatment cooperation has achieved remarkable results, but it still needs to improve the diagnosis and treatment of designated hospitals.