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本文介绍一种新的城市结防工作管理形式,即通过城市原有卫生保健网贯彻肺结核病例的发现和化疗管理。调整后,病例发现和报病单位复盖率由1987年的66.7％上升到1989年的93.5％。同期每100000人口的新登记率由32.5上升到38.8,而登记率由184.6下降到106.5。管理加强结果使规则化疗、治愈和痰菌阴转等(％)分别由1987年的56.9、60.6、55.2,提高到1989年的78、81.5、80.8。而同期年复发率(％)则由6.7降低到3.6。通过两年实践证明,这一形式对病例发现和不住院化疗均有积极效果。在目前条件下不失为一种较为有效的城市结防管理形式。
This article describes a new form of management of urban end-of-defense work that covers the detection and management of tuberculosis cases through the city’s original health care network. After adjustment, the coverage rate of case finding and reporting units rose from 66.7% in 1987 to 93.5% in 1989. The new registration rate per 100 000 population rose from 32.5 to 38.8 over the same period, while the registration rate dropped from 184.6 to 106.5. Management strengthened the results so that regular chemotherapy, cure and sputum negative conversion rate (%) were increased from 56.9,60.6,55.2 in 1987 to 78,81.5,80.8 in 1989 respectively. The annual recurrence rate (%) decreased from 6.7 to 3.6. After two years of practice, this form has shown positive effects on case finding and non-hospital chemotherapy. Under the current conditions, after all, a form of effective urban management.