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中国防痨杂志 ›› 2013, Vol. 35 ›› Issue (10): 835-839.

• 专家论坛 • 上一篇    下一篇

中国结核病防治技术策略实施现状及建议

成君 何广学 成诗明 姜世闻 王黎霞   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2013-07-04 出版日期:2013-10-10 发布日期:2014-01-03
  • 通信作者: 王黎霞 E-mail:wanglx@chinatb.org
  • 基金资助:

    中国结核病实施性研究“中国全球基金结核病项目实施性研究评价”课题(TB12-006)

National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

CHENG Jun, HE Guang-xue, CHENG Shi-ming, JIANG Shi-wen, WANG Li-xia   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
  • Received:2013-07-04 Online:2013-10-10 Published:2014-01-03
  • Contact: WANG Li-xia E-mail:wanglx@chinatb.org

摘要: 结核病是全球的重大公共卫生问题之一,我国是全球第二大结核病高负担国家,控制结核病的任务还很艰巨。笔者针对我国目前所采用的结核病防治技术策略,从免疫、患者发现、治疗管理、关怀环节入手,描述了实施现状,分析了BCG疫苗保护效力、结核病患者发现策略、诊断技术和能力、化疗方案疗程和药品、患者治疗管理依从性和管理工具、直接面视下督导服药实施质量、结核病免费政策、医疗保障水平、患者关怀措施等方面存在的问题,并提出了应对措施。

关键词: 结核, 技术, 策略

Abstract: Tuberculosis (TB) is one of the major public health problems worldwide. China has the second highest TB burden globally. In view of the current technical strategies employed in TB control and prevention in China, the implementation status was described from immunization, case detection, treatment and management and care, the problems existed in BCG protection efficiency, tuberculosis case finding strategy, diagnostic methods and capacity, treatment course and anti-tuberculosis drug, patient compliance, case management tools, the complemen-tation quality of conducting Directly Observed Treatment (DOT), policy on free tuberculosis diagnosis and treatment, health insurance level and patient care were analyzed, and practical solutions were provided as well.

Key words: Tuberculosis, Technology, Strategy