平谷县山区实施DOTS10年质量和效果评价

Evaluation of quality and effect of DOTS implemented in a mountainous area for 10 years in Pinggu conuty,Beijing

目的 评价平谷县山区实施直接督导下短程化疗 (DOTS) 10年质量 ,比较医务人员与非医务人员实施监化的效果。方法 对完成疗程的 76例新发初治涂阳肺结核病人进行回顾分析 ,对病人、家属、村医进行调查 ,对病历、中心登记卡片、胸片及痰菌检查结果进行复核。结果 76例病人中实施直接督导下短程化疗 (DOTS) 6 9例 ,DOTS落实率为 90 .8%。全医监治愈率为 10 0 % ;非医监治愈率为 81.8%。结论 由医务人员参与实施DOTS的质量及效果最好 ,非医务人员监化与自服药的结果相近 。

Objective To evaluate the quality of DOTS conducted for 10 years and to compare the effect of implementing by medical personnel and nonmedical personnel in Pinggu County.Methods Retrospectively ana lysed the status of 76 new smear positive pulmonary TB cases with completed treatment course.interviewed the patients,family numbers and village doctors,and checked the medical records,registered cards,chest X ray film and sputum status at meantime.Results 76 cases conducted DOTS,69(90.8%) of them conducted DOTS by medical personnel and its cure rate was 100%;and the cure rate conducted DOTS by nonmedical personnel was 81.8%. Conclusion The quality and effect of DOTS conducted by medical personnel were the best.The quality and effect of DOTS conducted by nonmedical personnel and non conducted DOT were poor,and their results were similar.