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目的 评论价结核病控制项目实施过程中所取得的社会和经济效益。方法 通过各种形式宣传项目的有关政策和结核病知识 ,加强各级医疗单位可疑肺结核病人的归口管理 ,按结控项目管理模式 ,组织实施病人发现、治疗和管理。结果 全市发现活动性肺结核病人 16 6 6 4例 ,其中新、复发涂阳 12 6 33例 ,其他涂阳 1892例 ,初治涂阳治愈率较项目前 4 2 .9%提高至 96 .2 % ,复治涂阳治愈率较项目前 5 5 .5 %提高至 82 .4 %。结论 以控制传染源为重点 ,全面推行DOTS策略 ,使归口管理法制、制度化是结核病控制可持续性发展的保证。
Objective To review the social and economic benefits achieved in the implementation of price control programs for tuberculosis. Methods To publicize the relevant policy and TB knowledge in various forms and to strengthen the centralized management of suspicious pulmonary tuberculosis patients in medical units at all levels, and to organize the implementation of patient discovery, treatment and management in accordance with the controlled project management mode. Results There were 16 6 64 active pulmonary tuberculosis cases in the city, including 12 633 cases of new and recurrent smear positive and 1892 cases of other smear positive. The cure rate of smear-positive in the first treatment was 96.2% higher than that of the previous 42.29% , The cure rate of retreatment smear positive than the previous 55.5% increase to 82.4%. Conclusion Focusing on controlling the source of infection, the DOTS strategy should be implemented in an all-round way so that centralized management of the legal system and institutionalization are the guarantees for the sustainable development of TB control.