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目的 探讨国家结核病防治规划 (NTP)纳入社区卫生服务的措施与效果。方法 通过转变管理模式 ,加大政府干预力度 ;改进技术策略 ,发挥网络作用 ,推行直接面视下的短程化疗 ;建立有效的质量控制体系等措施 ,按结核病监测规程、结核病流行病学调查及现场督导获取有关资料。结果 NTP纳入社区卫生服务 ,全区新发涂阳病人发现率由 1985年的 4 1%提高到 1998年的 88 5 % ,治愈率由 88 9%提高到 98 3% ;结核病死亡率由 1984年的 39 5 / 10万降为 1998年的 8 8/ 10万 ,年平均递降率 10 2 % ;涂阳患病率由 1985年的 2 41/ 10万降为 1998年的 6 2 / 10万 ,年平均递降率 9 9% ;年感染率由 1986年的 1 9%降为 1989年的 0 9% ,年平均递降率16 6 %。结论 NTP纳入社区卫生服务取得成功经验 ,为我省全面实施NTP奠定了基础 ,提供了示范。
Objective To explore the measures and effects of incorporating the National Tuberculosis Program (NTP) into community health services. Methods By changing the management mode, increasing government intervention efforts; improving technical strategies, playing a network role, the implementation of short-term chemotherapy under direct visualization; establish an effective quality control system and other measures, according to tuberculosis monitoring procedures, epidemiological survey of tuberculosis and the scene Supervisor to obtain relevant information. Results NTP was included in community health services. The detection rate of new smear positive patients in the whole district increased from 41.1% in 1985 to 88.5% in 1998, and the cure rate increased from 88.9% to 98.3%. The mortality of tuberculosis was increased from 1984 Of the population dropped from 381,000 in 1998 to 88,000 in 1998 and the annual average rate of decline was 102%. The prevalence of smear-positive disease was reduced from 241,100 in 1985 to 62,000 in 1998, The average annual decline rate was 9 9%. The annual infection rate dropped from 19% in 1986 to 0.9% in 1989 with an average annual drop rate of 16.6%. Conclusion NTP has successfully gained experience in community health services and laid the foundation for the full implementation of NTP in our province and provided a demonstration.