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目的分析湖南省安仁县利用“项目”实施DOTS策略发现和治疗涂阳肺结核患者的效果,为结核控制可持续发展提供科学依据。方法对2001-2010年间上报的报表进行分类统计分析,参考其他文献进行评价。结果 10年间安仁县共接诊可疑肺结核患者11 817例,年平均就诊率为291.15/10万;查痰人数为7 251例,查痰率为61.36%,发现涂阳肺结核患者1 880例,涂阳患者年平均检出率达25.93%,新涂阳肺结核患者年平均登记率为46.32/10万,其中初治涂阳患者占89.04%,复治涂阳患者占10.96%;涂阳患者2个月末年平均痰菌阴转率98.62%;疗程结束新涂阳肺结核患者年平均治愈率达93.14%,其中初治涂阳93.56%,复治涂阳89.95%。结论安仁县利用“项目”控制肺结核疫情取得了显著成绩。病人发现和治疗效果评价指标较10年前有了质的变化。
Objective To analyze the effect of using DOTS strategy in discovering and treating smear positive tuberculosis patients in Anren County, Hunan Province, and provide a scientific basis for the sustainable development of tuberculosis control. Methods According to the statistical analysis of the reports submitted between 2001 and 2010, other documents were used for evaluation. Results A total of 11 817 suspicious pulmonary tuberculosis patients were admitted to Anren County in the past 10 years. The average annual visit rate was 291.15 / 100,000. Among 7 251 sputum smear-positive sputum samples, the sputum sampling rate was 61.36%. A total of 1880 smear positive pulmonary tuberculosis patients were found The average annual positive rate of positive patients was 25.93%. The annual average registration rate of newly smear-positive pulmonary tuberculosis patients was 46.32 / 100000, of which 89.04% were smear-positive patients and 10.96% At the end of the year, the average sputum negative conversion rate was 98.62%. The average annual cure rate of new smear positive pulmonary tuberculosis patients was 93.14%, of which 93.56% were smear positive and 89.95% were smear positive. Conclusion Anren County made remarkable achievements in controlling tuberculosis epidemics using the “Project”. The evaluation of patient discovery and treatment effect has changed qualitatively 10 years ago.