山东省烟台市结核病控制模式研究

目的　总结分析烟台市10年来预防、控制传染性肺结核的一系列干预措施的效果。方法 对烟台市1992—2001年控制传染性肺结核的“意识—药物—行为”干预措施进行总结,并对传染性肺结核病人的发现、治疗和管理资料进行回顾分析。结果 1992—2001年全市共发现活动性肺结核病人14995例,涂阳肺结核病人7581例,涂阳比由1992年的35.7%提高到2001年的59.0%(χ²=19.07,P＜0.001),病人的治愈率有所提高。结论 在传染性肺结核的控制中实施“意识—药物—行为”干预措施,取得了良好的效果,为各级政府决策卫生工作方针,建立良好的预防控制机制,提供了科学的参考依据。

Study on tuberculosis control model in yantai City of Shandong Province

ObjectiveTo summarize and analyse the set of intervenient measures on tuberculosis control in past 10 years. MethodTo review and analyse the intervenient measures namely "consciousness-medicine-action" taken in tuberculosis control from 1992 to 2001 in Yantai City. And the data of case detection, treatment and management was analyzed retrospectively. ResultsFrom 1992 to 2001, 14995 cases of active pulmonary TB were detected. 7581 were smear positive cases. The percentage of smear positive rate was increased from 35.7% in 1992 to 59.0% in 2001(~2=19.07,P<0.001), which has a remarkable difference and clearly displays the effectiveness of detection, control and measures. ConclusionThere was a good result of the carried intervenient measures. It has provided scientific basis for the governments' policy-making and the establishment of a good prevention and control system.