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目的探讨实施DOTS策略对石河子地区结核病防治工作的影响及控制效果。方法通过对2003～2008年上报的结核病控制项目季报表、结核病专报信息系统相关数据进行统计和分析。结果实施DOTS策略后涂阳肺结核占活动性肺结核比例由实施DOTS策略前62.82%迅速增加至83.53%,至2004年达到最高85.52%,之后逐年下降;新涂阳登记率由实施DOTS策略前的12.12/10万逐年上升,至2006年达到最高36.10/10万,2007年以后有所下降,新涂阳肺结核病人治愈率达到90%以上。结论实施DOTS策略后,提高了结核病人的发现率,实施标准的短程督导化疗行之有效,DOTS策略的实施对结核病的控制效果显著。
Objective To explore the impact of DOTS strategy on tuberculosis prevention and control in Shihezi region and its control effects. Methods According to the quarterly reports of tuberculosis control projects reported from 2003 to 2008, the data of TB special information system were analyzed and statistically analyzed. Results The proportion of smear-positive pulmonary tuberculosis (TB) to active tuberculosis (TB) increased rapidly from 62.82% before implementing DOTS strategy to 83.53% after implementing DOTS strategy and reached 85.52% up to 2004 and then decreased year by year. The registration rate for new smear was increased from 12.12 before DOTS / 100,000 increased year by year, reaching a maximum of 36.10 / 100000 in 2006 and declined after 2007, with a cure rate of more than 90% for new smear-positive pulmonary tuberculosis patients. Conclusion The implementation of DOTS strategy has improved the detection rate of tuberculosis patients and the implementation of standard short-course superficial chemotherapy is effective. The implementation of DOTS strategy has significant effect on the control of tuberculosis.