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不住院督导化疗是控制结核病流行的有效方法。但欲做好“查出必治、治必彻底”,解决好组织管理和人力、物力是保证工作的前题。在经济改革的新形势下,这个问题似乎更为重要,因而如何做好肺结核不住院督导化疗工作,确有研究价值。甘肃省委和省政府领导十分重视甘肃省的结核病防治工作,自1983年起每年拨给结核病治疗专款。我们在机构不健全、专业人员缺少的状况下,要治疗结核病人必需要开展发现工作,因而第一年在全省总人口5%左右范围内采用症状线索调查发现活动性病人5,164例。1984年改用以查痰为主的方法,在三分之一
Not hospital supervision of chemotherapy is an effective way to control the tuberculosis epidemic. However, if we want to do a good job of “finding out what we should rule, we must thoroughly carry out our work”, we must solve the problems that organizational management and manpower and material resources are the prerequisite for guaranteeing our work. Under the new situation of economic reform, this issue seems to be even more important. Therefore, it is indeed of great value to study how to do the work of supervising and treating tuberculosis without being hospitalized. Leaders of Gansu Provincial Party Committee and Provincial Government attach great importance to TB control in Gansu Province and earmarked TB treatment each year since 1983. In the absence of a well-established and professional staff, we need to carry out the discovery work to treat TB patients. Therefore, in the first year, 5,164 active patients were found using symptom clues within the province’s total population of about 5%. In 1984 switched to sputum-based approach, one-third