北京结核病控制规程改革15年  

Fifteen years’experience in reformed Beijing tubercu-losis control programme.

作　　者：张立兴[1] 阚冠卿[1] 

机构地区：[1]北京结核病控制研究所

出　　处：《中华结核和呼吸杂志》1995年第6期337-339,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：从１９７８年起，北京根据ＷＨＯ推荐的现代概念确定结核病控制规程，建立健全结核病控制网，先抓初治痰菌涂片阳性（涂阳）肺结核患者管理，逐步在全市１８个区县实施全程监督不住院间歇化疗，获得很高的坚持治疗率和痰菌阴转率。强调以痰菌检查结果作为确诊和疗效判定标准。对经济困难患者给予药物补助。后来，在已较好落实初治涂阳病例化疗的基础上，对慢性传染性（慢传）病例实施全程监督化疗复治，结果北京慢传患病率由１９７９年的６９．９／１０万降至１９８５年的６／１０万。全国三次结核病流行病学调查结果显示，北京涂阳患病率１９７９、１９８５、１９９０年分别为１２７／１０万、５６／１０万、１６／１０万，平均年递降率为１７％。ince 1978 a new tuberculosis control programmebased on WHO recommended modern concept has beenstarted in Beijing. A sound network of tuberculosis con-trol service has been organized.Fully supervised inter-mittent chemotherapy with newly diagnosed cases ofsmear-posifive pulmonary tuberculosis as top priority hasachieved satisfactorily high rates of compliance and spu-tum conversion in all 18 districts and counties of thecity. Sputum exarnination was emphasized as the maintcol for diagnosis and determination of criterion of cure. Drugs are provided free to those who are needy.On thebasis of good implementation of fully supervisedchemotherapy for newly diagnosed smear-positive cases,fully supervised retreatment for chronic infectious caseswas started , and it resulted in a rapid reduction of theprevalence of chronic infectious tuberculosis from 69.9in 1979 to 6 in 1985 per 100 000.The prevalence ofsmear-positive tuberculosis of Beijing during the 3 Na-tional Surveys of Tuberculosis was 127,56 and 16 per100 000 1n 1979,1985 and 1990 respectively,with anaverage annual reduction rate of 17%.

关 键 词：肺结核 传染病防治 控制规程 北京 

分 类 号：R521[医药卫生—内科学]