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目的:分析盐城市两个县实施示范项目前后的结核病防治效果,评价实施示范项目的成效。方法:按评价和考核结核病防治效果的主要指标,对项目实施前后4年的防治工作资料进行分析。结果:实施项目后,肺结核可疑者年就诊率、年涂阳新登记率、年新发涂阳新登记率分别是实施前的4.25倍、2.28倍、1.96倍。队列分析新发涂阳治愈率达94.67％,比项目实施前高6.53％。每例新发涂阳治疗费用、平均治愈一例新发涂阳所需费用比实施前分别低110.5元和82.2元。结论:实施示范项目后,病人的发现、治管质量明显提高,全程督导化疗是较理想的管理方式。
OBJECTIVE: To analyze the effect of tuberculosis prevention and control before and after the implementation of demonstration projects in two counties of Yancheng and evaluate the effectiveness of implementing demonstration projects. Methods: Based on the evaluation and evaluation of the main indicators of tuberculosis control effect, the prevention and cure work data of 4 years before and after the project implementation were analyzed. Results: After the implementation of the project, annual treatment rate of tuberculosis suspects, the annual rate of smear positive registration, new smear registration rate were 4.25 times before, 2.28 times and 1.96 times respectively. Cohort analysis of new smear cure rate of 94.67%, 6.53% higher than before the implementation of the project. Each case of new smear treatment costs, the average cost of curing a case of new smear lower than the pre-implementation were 110.5 yuan and 82.2 yuan. Conclusion: The implementation of demonstration projects, the patient’s discovery, significantly improve the quality of management, the whole process of supervision and chemotherapy is an ideal way of management.