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目的调查贵州省遵义市肺结核治疗、督导、管理现状及影响因素,为该市肺结核规范督导、治疗提出改进措施。方法应用定量研究与定性研究相结合的方法,对肺结核患者进行问卷调查和深入访谈。结果该市肺结核发病率从2002年的149.93/10万上升至2007年的223.64/10万,选择到肺结核防治机构治疗的农村患者和城市患者分别占76.6%和72.7%;未进行督导管理的分别占31.7%和29.1%。结论应强化对该市肺结核的规范治疗。政府重视、改善基层医务人员待遇、提高基层医务人员素质、加强宣传教育、严格落实直接面视下短期督导治疗(DOTS)策略等是提高肺结核的规范治疗率主要措施。
Objective To investigate the status quo and influencing factors of tuberculosis treatment, supervision and management in Zunyi City, Guizhou Province, and to propose measures to improve the supervision and treatment of tuberculosis in this city. Methods Using the combination of quantitative research and qualitative research, we conducted a questionnaire survey and in-depth interviews with patients with pulmonary tuberculosis. Results The incidence of tuberculosis in this city increased from 149.93 / 100,000 in 2002 to 223.64 / 100,000 in 2007, and 76.6% and 72.7% of rural patients and urban patients were selected to be treated by TB prevention and treatment institutions respectively; Accounting for 31.7% and 29.1%. Conclusions The standardized treatment of tuberculosis in the city should be strengthened. The government attaches importance to improve the treatment of grass-roots medical staff to improve the quality of grassroots medical personnel, strengthen publicity and education, and strictly implement the short-term supervision and treatment (DOTS) strategy under the direct view of the main measures to improve the standardization of treatment of tuberculosis.