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目的评价莆田市现代结核病控制策略(DOTS策略)实施效果。方法分析2009—2013年肺结核病月报、季报、年报表及相关资料。结果莆田市2009—2013年共发现登记活动性肺结核7 706例,涂阳病人占55.6%,其中新涂阳病人89.3%,新涂阳病人发现率72.6%;活动性肺结核、涂阳和新涂阳肺结核病人登记率呈下降趋势。涂阳病人平均治愈率91.7%,以初治涂阳治愈率(92.9%)较高,治愈率总体上逐年升高。实施DOTS策略,取得显著的社会和经济效益,5年来约挽回599个健康生命,挽回GTP损失142 968.9万元。结论 2009年多个结核病控制项目相继结束后,莆田市实施DOTS策略仍取得显著成效,确保防治的可持续性发展。
Objective To evaluate the implementation effect of modern TB control strategy (DOTS strategy) in Putian. Methods To analyze the monthly report, quarterly report, annual report and related information of tuberculosis in 2009-2013. Results A total of 7 706 cases of active pulmonary tuberculosis were registered in Putian from 2009 to 2013, accounting for 55.6% of smear positive patients, including 89.3% of new smear positive patients and 72.6% of new smear positive patients. Active tuberculosis, smear positive and new smear The registration rate of positive pulmonary TB patients showed a downward trend. The average cure rate of smear-positive patients was 91.7%. The cure rate of smear-positive smears was higher (92.9%), and the cure rate increased year by year in general. Implementation of DOTS strategy achieved significant social and economic benefits, 599 years to restore about 599 healthy lives, to recover the GTP loss of 1429948000 yuan. Conclusion After many TB control projects were completed in 2009, the implementation of DOTS strategy in Putian still achieved remarkable results and ensured the sustainable development of prevention and treatment.