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目的分析罗甸县结核病防治工作重点干预措施实施效果。方法通过论证和研讨,结合《全国结核病防治规划实施工作指南》制定一系列针对性极强的干预措施,并加以实施。结果罗甸县肺结核患者转诊到位率从2012年86.0%(296/344)提高到2014年上半年的97.1%(165/170),总体到位率从2012年62.7%(358/571)提高到2014年上半年的82.0%(191/233)。因症就诊是患者的主要来源(57.1%),转诊(37.1%)和追踪(6.3%)是重要补充。新涂阳肺结核患者发现任务完成率2013年(181.7%)和2014年上半年(143.9%)较2012年(129.4%)有较大提高。新涂阳肺结核患者治愈率从2012年84.0%(121/144)提高到2014年上半年的88.0%(81/92)。结论罗甸县结核病重点干预措施效果显著,但仍存在一定风险,需长期观察。
Objective To analyze the implementation effect of key interventions in tuberculosis prevention and treatment in Luodian County. Methods Through the demonstration and discussion, combined with the “Guidelines for the implementation of national tuberculosis prevention and control planning” to develop a series of highly targeted interventions, and to implement. Results The referral rate of tuberculosis patients in Luodian County increased from 86.0% (296/344) in 2012 to 97.1% (165/170) in the first half of 2014, and the overall penetration rate increased from 62.7% (358/571) in 2012 82.0% (191/233) of the first half of 2014. Referral referral (37.1%) and follow-up (6.3%) were important complements because symptomatic treatment was the primary source of patients (57.1%). Patients with newly smear-positive TB found that the task completion rates in 2013 (181.7%) and 1H14 (143.9%) were significantly higher than in 2012 (129.4%). The cure rate of patients with new smear-positive tuberculosis increased from 84.0% (121/144) in 2012 to 88.0% (81/92) in the first half of 2014. Conclusion The main interventions of tuberculosis in Luodian County are effective, but there are still some risks and need long-term observation.