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目的分析江西省吉安市2001—2008年实施现代结核病防治策略(DOTS)及防治目标的实现情况,总结经验与不足,提出改进措施。方法采用国家《规划》监测和评估的调查登记表和指标,对市、县(区)级DOTS策略及《规划》实施情况进行调查、核实、统计、分析。结果 DOTS策略覆盖率从2003年的37%至2005年达到100%。2001—2008年累计发现、治疗、督导管理肺结核病人26552例。涂阳病人新登记率逐年上升,患者转诊到位率为63.1%,追踪到位率为75.4%,涂阳病人总治愈率91.9%。2005—2008年肺结核报告发病率从135.97/10万下降至101.44/10万,连续3年呈明显下降趋势。结论吉安市结核病防治策略实施效果显著,为实现《规划》目标发挥了重大作用。今后需要巩固结核病防治可持续发展机制,进一步加强结防机构能力建设,大力开展全民结防知识健康教育。
Objective To analyze the implementation of modern prevention and control strategies (DOTS) of TB in 2001-2008 in Ji’an City, Jiangxi Province, and to achieve the goal of prevention and treatment, summarize the experience and shortcomings, and propose improvement measures. Methods Investigate, verify, analyze and analyze the implementation of DOTS strategies and “planning” at city and county (district) level using the registration form and indicators of the monitoring and evaluation of the State “Planning”. As a result, DOTS strategy coverage reached 37% in 2003 and reached 100% in 2005. During 2001-2008, a total of 26 552 cases of tuberculosis were managed, supervised and managed. The new enrollment rate of smear-positive patients increased year by year. The referral rate of patients was 63.1%, the follow-up rate was 75.4%, and the smear positive rate was 91.9%. The incidence of tuberculosis reported in 2005-2008 dropped from 135.97 / 100000 to 101.44 / 100000, showing a clear downward trend for three consecutive years. Conclusion The implementation of tuberculosis prevention and control strategy in Ji’an City has achieved remarkable results, which has played a significant role in achieving the goal of “planning”. In the future, we need to consolidate the sustainable development mechanism for tuberculosis prevention and control, further strengthen the capacity building of prevention and control institutions, and vigorously carry out knowledge-based health education to end the epidemic.