【摘要】 目的　探讨不同结核病控制策略与复治涂阳患者形成的关系。方法　对宁夏实施世界银行贷款结核病控制项目前后两个不同时期结核病统计报表进行统计学 χ2 检验及直线相关分析。结果　宁夏实施项目以前的结核病控制策略导致新发涂阳肺结核患者治愈率仅为 34 33% ,同期复治涂阳肺结核患者比例高达 6 8 79% ;实施直接面视下短程化学疗法策略 ,使新发涂阳患者治愈率提高到 95 %以上 ,同期 ,复治涂阳肺结核患者比例最低下降到 18 2 7%。经相关处理 ,新发涂阳肺结核患者的治愈率与复治涂阳患者的比例之间呈明显的负相关。结论　现代结核病控制的直接面视下短程化学疗法策略能大幅度地减少复治涂阳患者和耐多药结核患者的产生更多还原

【Abstract】 Objective This study was intended to explore the relationships between different TB control strategies and the occurrence of retreatment smear positive cases.Method To compare recorded TB data before and after the implementation of the World Bank Loaned TB control project in NingXia by using χ 2 and linear correlation analysis.Results Before implementation of the TB control project, the rate of cure new cases of smear positive TB cases was 34.33%. At the same time, the smear positive TB cases needed retreatment was as high as 68.79%. After implementing the new strategy named Short Course Chemotherapy, the rate of cure new cases of smear positive TB increased to over 95%, while the cases needed retreatment was decreased to 18.27%. There was a negative correlation between the cure rate of the new cases of smear positive TB and the proportion of smear positive TB cases needed retreatment.Conclusion The new short course chemotherapy strategy of TB control effectively reduced the occurrence of new smear positive TB cases and multiple drug resistance TB cases.更多还原