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目的 探索广州市外来人口结核病控制的有效模式。方法 分析 1997年至 2 0 0 1年广州市将外来人口肺结核病人纳入区域结核病控制规划中 ,广州市外来人口初治涂阳肺结核病人的管理和治疗效果。结果 1997年至 2 0 0 1年广州市外来人口初治涂阳肺结核登记病例逐年增加 ,其中 15～ 35岁的病例占 78.2 3%。在 6 5 1例登记治疗病例中 ,72 .81%病例接受免费全程督导 (DOTS) ,治愈率为 94.30 %。 2 7.19%病例要求自费自服药管理 ,治愈率为 73.45 %。结论 取消外来人口初治涂阳肺结核自服药管理模式 ,将外来人口结核病控制工作全面纳入到广州市区域结核病控制规划中 ,全面实施 (DOTS)管理。
Objective To explore the effective mode of controlling tuberculosis in immigrants in Guangzhou. Methods: From 1997 to 2001, the management and treatment effects of out-patient pulmonary tuberculosis in Guangzhou were included in the regional tuberculosis control programs. Results From 1997 to 2001, the number of newly diagnosed cases of smear-positive pulmonary tuberculosis in migrant population in Guangzhou increased year by year, of which 78.2% were from 15 to 35 years old. Of the 651 enrolled cases treated, 72.81% received DOTS, with a cure rate of 94.30%. 2 7.19% cases require self-medication management at their own expense, the cure rate was 73.45%. Conclusion Abolishing the self-medication management model of smear-positive pulmonary tuberculosis in migrant population, the control of migrant tuberculosis should be fully incorporated into the TB control program in Guangzhou and fully implemented (DOTS).