中国结核病防治技术策略实施现状及建议

结核病是全球的重大公共卫生问题之一，我国是全球第二大结核病高负担国家，控制结核病的任务还很艰巨。笔者针对我国目前所采用的结核病防治技术策略，从免疫、患者发现、治疗管理、关怀环节入手，描述了实施现状，分析了BCG疫苗保护效力、结核病患者发现策略、诊断技术和能力、化疗方案疗程和药品、患者治疗管理依从性和管理工具、直接面视下督导服药实施质量、结核病免费政策、医疗保障水平、患者关怀措施等方面存在的问题，并提出了应对措施。

Implementation status and suggestions on technical strategy of tuberculosis control and prevention in China

Tuberculosis （TB） is one of the major public health problems worldwide. China has the second highest TB burden globally. In view of the current technical strategies employed in TB control and prevention in China, the implementation status was described from immunization, case detection, treatment and management and care, the problems existed in BCG protection efficiency, tuberculosis case finding strategy, diagnostic methods and capacity, treatment course and anti-tuberculosis drug, patient compliance, case management tools, the complemen- tation quality of conducting Directly Observed Treatment （DOT）, policy on free tuberculosis diagnosis and treat- ment, health insurance level and patient care were analyzed, and practical solutions were provided as well.