【摘要】 目的评价西安市灞桥区2004～2008年推行现代结核病控制(DOTS)策略的效果,探讨提高涂阳肺结核患者发现率和治愈率的影响因素。方法收集2004～2008年西安市灞桥区结核病控制工作月报表、季报表、年报表资料以及各年度工作总结,统计各年度涂阳患者发现情况、治疗转归情况以及健康教育、业务培训和督导管理工作情况,采用SPSS 13.0软件对资料进行统计分析。结果西安市灞桥区从2004年起推行DOTS策略,新涂阳肺结核患者发现率逐年增加,由2004年的72.22%增加到2008年的82.82%。治愈率也逐年提高,由2004年的72.00%增加到2008年的86.93%。结核病防治知识的宣传教育、医务人员结核病防治培训与发现率之间呈正相关(P<0.01),全程督导管理与治愈率之间呈正相关(P<0.05)。结论通过实施DOTS策略,西安市灞桥区涂阳结核患者发现率和治愈率达到了WHO和中国国家卫生部制订的结核病控制目标。结核病防治知识的宣传教育、医务人员结核病防治培训和全程督导管理可提高涂阳肺结核患者发现率和治愈率。更多还原

【Abstract】 Objective To evaluate the effects of the practicing of DOTS strategy in Baqiao region of Xi’an city from 2004 to 2008,and to analysis the influential factors in patient discovering rate and cure rate for tuberculosis(TB).Methods Collect and analyze the monthly,quarterly,annual report forms and the annual work summary from 2004 to 2008.Analyze the situation of patient discovery,turnover and health education,professional training and supervising management.The results were analyzed with SPSS13.0.Results After the practicing of DOTS strategy in 1994,the discovery rate of new infectious TB patients increased year by year,which from 72.22% in 2004 reached to 82.82%in 2008.Cure rate of TB patients also increased year by year,which from 72.00%in 2004 reached to 86.93%in 2008.There were positive correlation between Health education,professional training and the discovery rate of infectious patients(P<0.01).And there was also a positive correlation between whole range supervise and the cure rate of TB patients(P<0.05).Conclusion After the practicing of DOTS strategy in 1994,the discovery rate and cure rate of new infectious TB patients in Baqiao Region of Xi’an city were both reached the aim introduced by WHO and Ministry of Health.Health education,professional training and whole range supervise could improve the discovery rate and cure rate of new infectious TB patients.更多还原