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目的研究肺结核病归口管理对提高病例发现率的影响,探讨结核病控制方法。方法对2003年结核病控制项目在合肥市实施以来登记、报告的有关病例和资料进行分析。结果2004年报告肺结核发病率93.44/10万。与项目开展前的2002年相比,菌阳病例增加141.71%;70.09%的肺结核病例是由结防机构报告;新菌阳登记率21.65/10万,初复治菌阳病例比例达2.5∶1。结论归口管理是提高肺结核病例发现率和治愈率的一项非常重要的措施。
Objective To study the effect of centralized management of tuberculosis on the case-finding rate and explore the methods of controlling tuberculosis. Methods The cases and data about registration and report of TB control project in Hefei since 2003 were analyzed. Results The incidence of tuberculosis in 2004 was 93.44 / 100 000. Compared with the pre-project year of 2002, the number of cases of bacilli increased by 141.71%; 70.09% of tuberculosis cases were reported by the prevention and treatment agencies; the registration rate of new bacteria was 21.65 / 100000; . Conclusion Centralized management is a very important measure to improve the detection rate and cure rate of pulmonary tuberculosis cases.