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目的了解日照市《规划》实施情况,摸清结核病发病规律,评价DOTS策略的执行效果,为制定《结核病防治规划(2011—2020)年》提供科学依据。方法通过对日照市2001—2009年登记管理的病人,以病人登记本、月报、季报和年报为来源,进行患病登记率、流行特征、DOTS策略执行情况进行分析,并对DOTS效果及社会效益进行评价研究。结果 2001—2009年登记患病率为44.06/10万,新涂阳登记率24.17/10万;新发涂阳病人强化期结束痰菌阴转率为98.7%,治愈率为96.7%;避免54 992人感染结核菌,避免5 499人发病,为社会节约医疗费用3 746 348.25元,为社会挽回损失总价值891 549 068.57元。结论日照市积极推行现代结核病控制策略,加强了DOTS管理措施,使结核病人的发现率和治愈率有了显著提高,较好的完成了《全国结核病防治规划(2001—2010)年》总体目标任务,收到了良好的效果和社会效益。
Objective To understand the implementation of “planning” in Rizhao City, find out the regularity of tuberculosis incidence, evaluate the effect of DOTS strategy, and provide a scientific basis for the development of “tuberculosis prevention and control plan (2011-2020)”. Methods According to the records of patient registration, monthly, quarterly and annual reports, the patients registered in Rizhao from 2001-2009 were analyzed for prevalence, prevalence and implementation of DOTS strategy. The effects of DOTS and social Benefit evaluation study. Results The registered prevalence was 44.06 / 100 000 from 2001 to 2009, and the registration rate of new smear was 24.17 / 100 000. The sputum negative conversion rate of the smear positive smear positive patients was 98.7% and the cure rate was 96.7% 992 people were infected with Mycobacterium tuberculosis to avoid the incidence of 5,499 people, saving 3,736,448.25 yuan for medical expenses for the society and 891,549,068.57 yuan for the society. Conclusion Rizhao City actively promotes modern TB control strategies and strengthens DOTS management measures so that the detection rate and cure rate of tuberculosis patients have been significantly improved. The goal of the “National Tuberculosis Prevention and Control Plan (2001-2010)” overall objective has been completed well. , Received a good effect and social benefits.