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对我省19个实施“卫生部加强与促进结核病控制项目”县发现的涂阳病人作队列分析。在项目工作中,共发现涂阳肺结核988例,其中满疗程728例,痰菌阴转652例,平均阴转率为89.6%,其中初治阴转率达93.4%、复治为73.4%。初治效果明显优于复治,而且高于同期全省80.2%的水平。作者认为,项目工作在取得高治愈串的基础上,应加强结核病归口管理,以提高涂阳病例的发现率。
A cohort analysis was conducted on 19 smear-positive patients found in 19 counties under the Ministry of Health Strengthening and Promoting Tuberculosis Control Project. In the project work, a total of 988 cases of smear positive pulmonary tuberculosis were found, of which 728 cases were full course of treatment, 652 cases of sputum negative conversion, the average negative conversion rate was 89.6%, of which the initial treatment of negative conversion rate of 93.4% 73.4%. The initial treatment effect was significantly better than retreatment, but higher than the province’s 80.2% level. The author believes that on the basis of obtaining a high cure for the project work, the centralized management of tuberculosis should be strengthened so as to increase the detection rate of smear-positive cases.