Abstract: Objective To analyze the effect of integrated measures on case detection rate of pulmonary TB patients. Methods The total population in Chengde city were 3 509 600 in 1999 and 3 719 100 in 2010;The registered patients of active pulmonary TB was 4917 during 1999—2002 and 19772 during 2003—2010.The situation of TB case referring, reporting and finding in general hospital were compared and analyzed before and after integrated measures performed in Chengde city. Results After all the measures performed, the yearly average number of referred patients in general hospital increased 218.81%（154625/485×100%-100%）. The total yearly average referral arrival rate raised from 53.25% to 86.89%. The yearly average contribution of active pulmonary TB from referral arrival patients increased from 6.26% to 25.21% in all diagnosed active pulmonary TB patients; The total attendance rate increased from 138.81/100 000 to 296.31/100 000, the yearly average active pulmonary TB registration rate rose from 34.78/100 000 to 67.90/100 000. The yearly average case detection rate of new smear-positive rose from 40.11% （2892/7210）to 7694%（11 426/14 851）.Conclusion The integrated measures such as the collaboration between general hospital and TB dispensary has a remarkable effect on improving the TB case detection in Chengde.

Key words: Tuberculosis,pulmonary/prevention and control, Chengde city