关键词: 结核, 肺/预防和控制, 规范管理, 全程督导

Abstract: Objective To seek an effective case management Methods to be used in villages,especially in remote and poor areas of our country.Methods To select new smear positive pulmonary TB cases in 20 counties of Hebei province and to divide them into two groups,namely standardized self administrative treatment and directly observed treatment.All of selected patients were treated with initial smear positive short course regimen:2H₃R₃Z₃E₃(S₃)/4H₃R₃,and observed the outcomes and the situation of interrupted treatment under two different case management methods.Results By the end of treatment,the sputum conversion rate of the patients under standardized self administrative treatment and directly observed treatment was 97.1% and 98.5% respectively and the interrupted treatment rate was 0.2% and 0.12% respectively.Conclusion The same effectiveness can be gained between standardized self administrative treatment and directly observed treatment.

Key words: Tuberculosis,pulmonary/prevention and control, Standardized self administrative treatment, Directly observed treatment