连云港市市区实施PPM-DOTS结核病控制项目的效果分析  

Analysis on implement effect of PPM-DOTS tuberculosis control project in Lianyungang city

作　　者：朱磷扬[1] 张青元[1] 仲崇桥[1] 

机构地区：[1]连云港市疾病预防控制中心,江苏连云港222003

出　　处：《南京医科大学学报（自然科学版）》2008年第12期1690-1693,共4页Journal of Nanjing Medical University(Natural Sciences)

基　　金：中国全球基金结核病项目实施性研究课题(TB07-014)

摘　　要：目的:探讨在城区实施PPM-DOTS项目的效果情况。方法:对项目实施前后的患者发现、转诊、诊疗、管理及人员情况进行统计学分析。结果:项目实施前后,新涂阳患者年登记率分别为1.87/10万和37.38/10万;初诊患者查痰率分别为42.08%和73.91%;初、复治涂阳治愈率分别为50.00%、55.55%和92.32%、86.49%;初治涂阳2个月和3个月末痰涂片阴转率分别为46.43%、50.00%和90.89%、91.47%,以上指标经卡方检验均有显著性差异。结论:PPM-DOTS的实施使城区结核病的发现率、治愈率、痰涂片阴转率有了显著提高。Objective：To study implement effect of PPM-DOTS tuberculosis control project in city. Methods：The indexes of case-detection and cure rate were compared with before the project and after the project. Results：After the project finished, the new smear positive notification rate increased from 1.87/100 000 before the project to 37.38/100,000. After the project, and the smear detecting rate increased from 42.08% to 73.91%. The cure rate of new smear positive tuberculosis and the retreatment smear positive tuberculosis increased from 50.00% to 92.32% and from 55.55% to 86.49%. Conclusion：Through the PPM-DOTS implemented, the new smear positive detecting rate was increased obviously and the treatment of new smear positive pulmonary tuberculosis was improved in city areas.

关 键 词：结核病 PPM—DOTS 城区 

分 类 号：R195.4[医药卫生—卫生统计学]