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中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (1): 23-25.

• 论著 • 上一篇    下一篇

陕西省结核病防治现状与可持续控制策略

郭刘家1;席昭雁2;张天华1;   

  1. 1.陕西省结核病防治研究所 西安 710054; 2.陕西省疾病预防控制中心 西安 710054;
  • 出版日期:2008-01-10 发布日期:2011-11-03

Prevalent situation of prevention and therapy for tuberculosis and sustainable control strategies in Shanxi province

Guo Liujia1,Xi Zhaoyan,Zhang Tianhua.   

  1. 1.Institute of TB Prevention and Treatment in Shanxi,Xi’an 710054,China
  • Online:2008-01-10 Published:2011-11-03

摘要: 目的 掌握陕西省结核病防治状况,制定结核病可持续控制与发展策略。方法 现场调研与实验室分析相结合,拟订和实施结核病控制措施。结果 通过政府干预、引进项目、加强管理、实施规划等4年实践,全省以县、区、乡为单位,现代结核病控制策略(DOTS)覆盖率达到100%;发现活动性肺结核病人81 122例,其中痰结核菌阳性病人37 475例(其中新涂阳病人25 134例),病人发现率超过70%的目标;免费治疗痰检结核菌阳性肺结核病人37 475例,治疗满2个月痰菌阴转率87.8%,痰菌阳性肺结核病人20 140例被治愈,治愈率85.0%。结论 推行行政保证、强化技术管理、引进项目支撑、落实经费保障,是实施结核病控制规划和可持续发展的基本策略。

关键词: 结核病/预防和控制, 策略

Abstract: Objective To investigate the prevalent situation of prevention and therapy for TB in Shaanxi province,constitute sustainable control and development strategies for TB.Methods With the combination of the field investigation and analysis for TB,the strategies of control for TB were drafted and implemented. Results After the 4 years’ practices of government interventing,using new projects,enhaning management and implementing programs,the whole province coverage of rate of Directly Observed Treatment Course(DOTS) achieved 100%.With the government intervention,importing project,enhancement management and implementing program,the DOTS of Shaanxi province took the county,the district and the township as unit.There were 81122 activity pulmonary tuberculosis cases,37475 of 81122 cases were tubercle bacillus infected,while 25134 of 37475 cases were infected newly,so the rate of patients who were confirmed to be positive achieved and surpassed 70%.37475 patients accepted free therapy,whose phlegm examines of tuberculosis bacterium were positive.The rate of patients’ transformation from positive to negative achieved 87.8% though the therapy about two months,there were 20140 patients who were cured.The cure rate was 85.0%.Conclusions The basic strategies of putting the sustainable control development of tuberculosis into practice were implementing administrative guarantees,enhancing management of technical control,importing project and carrying out the funds safeguard.

Key words: Tuberculosis,prevention and therapy, Strategies