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目的评价天津市大专院校肺结核新治疗管理模式试点效果。方法对4所试点大专院校学生肺结核患者按照新治疗管理模式进行管理,对非试点大专院校学校学生在结防机构按常规进行DOTS管理,比较2种管理办法的治疗效果。结果4所试点院校学生肺结核患者规则治疗率、规则查痰率、涂阴完成治疗率、系统管理率分别为90.9%、89.1%、95.8%、87.3%,均高于非试点院校的71.6%、70.3%、81.0%、66.2%,差异均有统计学意义(P均<0.05);涂阳肺结核患者治愈率为85.7%高于对照组81.8%,但差异无统计学意义(P>0.05)。结论天津市4所试点院校采用的肺结核新治疗管理模式取得很好效果,针对不足进行改进后,值得在全市推广。
Objective To evaluate the pilot results of the new treatment and management model for tuberculosis in tertiary institutions in Tianjin. Methods According to the new treatment management mode, the students from four pilot universities and colleges were administered the management of DOTS. The non-pilot tertiary school students were routinely DOTS administered at the prevention and treatment institutions. The therapeutic effects of the two management methods were compared. Results The results showed that the regular treatment rate, the regular sputum rate, the complete cure rate and the system management rate of the four experimental college students with tuberculosis were 90.9%, 89.1%, 95.8% and 87.3% respectively, which were all higher than those of non-pilot institutions %, 70.3%, 81.0% and 66.2%, respectively (all P <0.05). The cure rate of smear positive pulmonary tuberculosis patients was 85.7%, which was higher than that of the control group (81.8%), but the difference was not statistically significant (P> 0.05 ). Conclusion The new treatment and management model of tuberculosis in four pilot schools in Tianjin has achieved good results. After the improvement is made, it is worth to promote it in the whole city.