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目的分析探讨提高结核病人登记率及改善疫情控制效果的措施。方法随机抽取本县20个自然村和街道作为试点工作区,建立社区结核病控制网,实施时间自2008年1月至2012年12月,记录结核病人的登记率、化疗2个月痰菌转阴率和8个月治愈率,与未实施结核病控制网之前进行比较。结果实施社区结核病控制网管理后,试点工作区的登记率、2个月痰菌转阴率、化疗8个月后治愈率均明显高于实施前(P<0.05)。结论利用社区结核病控制网进行社区干预,有利于提高社区的结核病人登记率,同时促进DOT管理,大大改善了结核病疫情控制效果。
Objective To analyze and discuss measures to increase the registration rate of TB patients and improve the control effect of the epidemic. Methods Twenty natural villages and streets in the county were randomly selected as the pilot work area and a community TB control network was established. The implementation time was from January 2008 to December 2012, recording the registration rate of TB patients, the sputum negative conversion rate of 2 months of chemotherapy And 8-month cure rates, compared with those before the tuberculosis control network was implemented. Results After the community TB control network was administered, the registration rate of the pilot work area, the negative conversion rate of sputum for 2 months and the cure rate after 8 months of chemotherapy were significantly higher than those before implementation (P <0.05). Conclusion The community intervention using community TB control network is beneficial to improve TB registration rate in communities and promote DOT management, which has greatly improved the control effect of TB epidemic.