【摘要】 目的评价综合医院承担城区结核病治管理工作模式的效果。方法通过下达文件,把原来由镇江市疾病控制中心结防所、各综合医院肺科负责的城区结核病现代结核病控制策略(简称DOTS策略)的各项工作全部由医院新成立的结防科承担。结果3年来城区结核病的转诊率由实施前的20%上升到90%;肺结核病人涂阳新登记率由2001年的5.57/10万,上升至2004年的21.57/10万,比2001年提高了387.2%;新发现肺结核病人的查痰率2001年平均为25%,阳性检出率为20%,至2004年底统计肺结核病人查痰率平均已达100%,阳性检出率平均为40.1%,DOTS覆盖率由实施前不足10%上升到95%以上;初治传染性肺结核治愈率达90%以上,复治治愈率达80%。结论定点医院同样可以承担现代结核病控制策略,很好地把结核病的监督管理与规则治疗有机结合起来,在结核病控制工作中发挥重要的作用。更多还原

【Abstract】 Objective To evaluate the effect of working mode of the city assigned general hospital forundertaking the management and treatment of tuberculosis cases.Methods Based on document the responsibility of implementation tuberculosis control strategy(abbreviation DOTS strategy) that original took by the disease control central of Zhenjiang and each lung department of the general hospital was shifted to the new set up department of our hospital "Prevention Tuberculosis Department".Results For 3 years,the referring rate of the tuberculosis patient increased to 90% from 20%.The notification rate of the new smear positive tuberculosis patient raised year by year.The rate of 2001 was 5.57/100,000,2003 was 12.28/100,000.The rate reached to 21.57/100,000 in 2004.It increased 387.2% than that in 2001.The sputum examination rate and positive detection rate increased year by year.In 2001,the average sputum examination rate in urban area was 25%,the smear positive detection rate was 20%.To the end of 2004 the rate came to 100% and 40.1% respectively.The case detection rate of infectious tuberculosis increased to 50% for continuous 3 years.DOTS coverage rate was increased from below 10% before to 95% above.The cure rate of new infectious cases was 90% above;the cure rate of re-treatment cases was 80%.Conclusions The assigned general hospital can undertake the modem tuberculosis control strategy,make the manage and supervise of tuberculosis go well with the treatment,and can play important role in tuberculosis control.更多还原