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目的总结分析烟台市10年来预防、控制传染性肺结核的一系列干预措施的效果。方法对烟台市1992—2001年控制传染性肺结核的“意识—药物—行为”干预措施进行总结,并对传染性肺结核病人的发现、治疗和管理资料进行回顾分析。结果1992—2001年全市共发现活动性肺结核病人14995例,涂阳肺结核病人7581例,涂阳比由1992年的35.7%提高到2001年的59.0%(χ2=19.07,P<0.001),病人的治愈率有所提高。结论在传染性肺结核的控制中实施“意识—药物—行为”干预措施,取得了良好的效果,为各级政府决策卫生工作方针,建立良好的预防控制机制,提供了科学的参考依据。
Objective To summarize and analyze the effect of a series of interventions for prevention and control of infectious pulmonary tuberculosis in Yantai City over the past 10 years. Methods The “consciousness - drug - behavior” interventions for controlling infectious tuberculosis in Yantai from 1992 to 2001 were summarized, and the data of the discovery, treatment and management of infectious pulmonary tuberculosis were retrospectively analyzed. Results A total of 14995 cases of active pulmonary tuberculosis and 7581 smear positive pulmonary tuberculosis cases were found in the city from 1992 to 2001. The positive rate of smear positive was increased from 35.7% in 1992 to 59.0% in 2001 (χ2 = 19.07, P <0.001) The cure rate has increased. Conclusions The implementation of “awareness-drug-behavior” intervention in the control of infectious tuberculosis has achieved good results and provided a scientific reference for the government at all levels to make policy decisions on health work and establish a good prevention and control mechanism.