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目的分析江西省吉安市2000～2009年结核病防控结果,评价现代结核病防治策略(DOTS)的实施效果。方法采用国家《全国结核病防治规划(2001-2010年)》监测和评估的调查登记表和指标,进行调查、核实、统计、分析。结果 2000～2009年累计发现、治疗、督导管理传染性肺结核病人30 767例。新涂阳病人登记逐年上升,达到43.27~60.52/10万;患者转诊到位率为66.74%,追踪到位率达到84.82%;免费治疗涂阳病人总治愈率92.01%;2005～2009年发病率从135.97/10万下降至92.58/10万。结论 DOTS是实现结核病人高发现率与高治愈率的有效措施,今后还需巩固结核病防治可持续发展机制。
Objective To analyze the results of prevention and control of tuberculosis in Ji’an from 2000 to 2009 in Ji’an City of Jiangxi Province and evaluate the implementation effect of modern prevention and control strategies for tuberculosis (DOTS). Methods Investigate, verify, count and analyze the survey and registration forms and indicators monitored and evaluated by the national “National Tuberculosis Prevention and Control Plan (2001-2010)”. Results From 2000 to 2009, a total of 30 767 cases of infectious tuberculosis were treated, supervised and managed. The registration of new smear-positive patients increased year by year, reaching 43.27 ~ 60.52 / 100000; The referral rate of patients reached 66.74% and the follow-up rate reached 84.82%; The total cure rate of smear-positive patients with free treatment was 92.01%; The incidence of 2005-2009 increased from 135.97 / 100,000 to 92.58 / 100,000. Conclusions DOTS is an effective measure to achieve a high detection rate and a high cure rate of TB patients. It is also necessary to consolidate the sustainable development mechanism of tuberculosis prevention and control in the future.