苏南农村地区医防合作开展结核病控制工作效果分析

目的评价医院、疾控中心共同合作开展结核病控制工作的效果。方法实行由乡镇结核病防治点进行诊断、登记、管治的非中心化结核病控制模式，市疾控中心、市级结核病定点医院、区疾控中心、区医院、乡镇结核病防治点各司其职，共同合作开展结核病控制工作。结果2002—2007年共登记活动性肺结核病例1494例，其中新涂阳728例。新涂阳登记率从2002年的14.78/10万上升到2007年的33.87/10万。2002—2007年登记的834例涂阳病人中，乡镇卫生院发现病人占总涂阳人数的62.5％。2002—2006年初治涂阳治愈率达到93.8％，复治涂阳治愈率达到86.8％。结论在农村地区设立结核病防治点，可以使结防战线哨口前移，重心下移，有利于病人的发现和督导治疗。在经费保障和加强督导管理的基础上，乡镇结核病防治点在病人发现和督导管理中发挥着重要作用。

The effect of the cooperation between center for disease control and prevention(CDC) and hospital on tuberculosis control in rural area of southern Jiangsu province

Objective To evaluate the effect of the cooperation between CDC and hospital on tuberculosis （TB） control. Methods Non-centralized TB control model of diagnosing, registering, treating managing TB cases in township TB control site was conducted, CDC at prefecture level, prefecture designated hospital, district CDC, district hospital and township TB control site did their duties and cooperated for TB control. Results From 2002 to 2007,1494 active pulmonary tubercu- losis （PTB） cases were registered, among which 728 were new smear positive cases. The notification rate of new smear positive cases increased from 14.78/100 000 in 2002 to 33. 87/100 000 in 2007. 834 smear positive cases were registered from 2002 to 2007, 62.5 % of whom were found by township hospital. From 2002 to 2006 ,the cure rates were up to 93.8% and 86.8% respectively for new smear positive cases and re-treatment smear positive cases. Conclusions The TB control site in rural area is helpful for case detection and treatment. On the basis of funds security and strengthening supervision and management, the township TB control site plays a very important role in case detection and treatment.