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目的探讨归口管理对新涂阳肺结核病人发现率的影响。方法分析比较南县采取行政干预、健康促进、强化培训、奖惩兑现、加强督导等综合措施强化结核病归口管理前(2002-2003年)后(2004-2008年)6年新涂阳病人登记率和新涂阳病人比例的变化。结果新涂阳病人登记率由2002年的29.43/10万上升到2008年的44.60/10万,因转诊和因症推荐发现的新涂阳病人数占同期新涂阳病人比例不断上升,2008年达到了62.62%。结论采取综合措施强化肺结核病归口管理是发现肺结核病人的有效措施和预防控制结核病疫情的有效手段。
Objective To explore the effect of centralized management on the detection rate of new smear-positive pulmonary tuberculosis patients. Methods To compare and compare the enrollment rate of new smear-positive patients during six years (2004-2008) before and after strengthening the supervision and other comprehensive measures such as administrative intervention, health promotion, intensive training, supervision and other measures to strengthen the centralized management of tuberculosis Changes in the proportion of new smear-positive patients. Results The registration rate of newly smear-positive patients increased from 29.43 / 100 in 2002 to 44.60 / 100 in 2008. The proportion of new smear-positive patients who were found referral and symptomatic recommendation in the same period accounted for the rising proportion of new smear-positive patients in the same period. Year reached 62.62%. Conclusion Taking comprehensive measures to strengthen centralized management of tuberculosis is an effective measure to detect tuberculosis patients and prevent and control tuberculosis epidemic.