农村地区初级卫生保健与结核病控制实施性研究

Primary Health Care and Tuberculosis Control Programme in the Rural Area

１９８８年以来，天津市结核病控制中心对结核病控制规程的组织实施方法进行了一系列研究，本文为其中的重要组成部份。本研究通过发挥政府在结核病控制和初保长期有机结合过程中的主体作用，专业技术中心的保证作用和可在当地长期运行的技术体系的核心作用，提高了涂片阳性病例的发现率，直接面视下短程化疗（ＤＯＴＳ）管理率，并明显改善了新涂片阳性病例一年队列分析结果。

This study is an important part of a series of operational researches on Tianjin tuberculosis control programme conducted by Tianjin Tuberculosis Control Center since 1988.It is being a success integrating tuberculosis control programme into the primary health care systems exiting in rural area with government commitment and Tianjin Tuberculosis Center's rigorous management which is focussed on to ensure that health workers and village doctors directly observe tuberculosis patients swallowing every dose of their required medicines.The numbers of newly diagnosed smear-positive cases increased and the results of cohort analysis of these cases had been obviously improved from 1990 to 1995.