医防结合防治结核病模式探讨

Discuss of Model of Anti-TB Combination of Prevention and Treatment

目的通过加强医疗机构与结防机构合作,提高肺结核病人发现率及治疗管理水平。方法在全面落实现代化结核病控制策略(DOTS)的基础上,参照第五版内科学肺结核病人每日用药剂量[1]、综合分析借鉴结核专科医院肺结核病人治疗经验,探讨目前结核病防治策略及改进措施。结果加强了对项目肺结核病人(特别是病情较重、耐药、年老体弱、并发症等)的治疗和管理,提高病人发现率及治疗效果,有效控制了结核病流行。

Objective To strengthen the TB control health care institutions and agencies to improve TB case detection rate and treatment management. Method In the full implementation of modem tuberculosis control strategy （ DOTS）, based on the fifth edition in the light of tuberculosis patients in a daily dose of science, drawed on a comprehensive analysis of TB patients in TB specialist hospital treatment experience and discussed the current TB control strategies and measures for improvement. Results The project strengthened the tuberculosis patients （ particularly serious condition, drug resistance, the senile, complications, etc. ） of the treatment and management, improved case detection rate and treatment effect and effectively controled the tuberculosis epidemic.