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目的:探讨在城区实施PPM-DOTS项目的效果情况。方法:对项目实施前后的患者发现、转诊、诊疗、管理及人员情况进行统计学分析。结果:项目实施前后,新涂阳患者年登记率分别为1.87/10万和37.38/10万;初诊患者查痰率分别为42.08%和73.91%;初、复治涂阳治愈率分别为50.00%、55.55%和92.32%、86.49%;初治涂阳2个月和3个月末痰涂片阴转率分别为46.43%、50.00%和90.89%、91.47%,以上指标经卡方检验均有显著性差异。结论:PPM-DOTS的实施使城区结核病的发现率、治愈率、痰涂片阴转率有了显著提高。
Objective: To explore the effect of implementing PPM-DOTS project in urban area. Methods: Before and after the implementation of the project, patients were found, referral, diagnosis and treatment, management and personnel for statistical analysis. Results: Before and after the project was implemented, the annual registration rates of new smear-positive patients were 1.87 / lakh and 37.38 / lakh respectively. The sputum sampling rates of the newly diagnosed patients were 42.08% and 73.91% respectively. The cure rates of primary and secondary smear smears were 50.00% , 55.55% and 92.32%, 86.49% respectively. The sputum smear negative conversion rates at the first two months and the third month after smear were 46.43%, 50.00% and 90.89%, respectively. The above indexes were significantly different Sex differences. Conclusion: The implementation of PPM-DOTS has significantly improved the detection rate, cure rate and sputum smear negative rate in urban areas.