摘要目的 实施肺结核转诊督导与DOTS管理.提高病人发现率和治愈率,控制传染源,有效防治结核病.方法 以阳江市2002-2004年与2005-2007年的数据变化来评价实施效果.结果 2005-2007年肺结核病人的初治涂阳完成率、复治涂阳完成率、初治涂阴完成率、发现率、转诊率、到位率、治愈率、阴转率与2002-2004年同期相比明显提高,增长率分别为12.5%、113.8%、321.8%、12.5%、66.8%、166.9%、18.4%、28.8%,差异均有显著性.同时肺结核病人二级督导治疗管理模式比传统的三级督导治疗管理模式效果好,且减少中间环节,节约治疗管理费用.结论 加强和规范肺结核病人的转诊、追踪、访视和督导工作,是提高肺结核病人发现率和治愈率的重要手段.

abstractsObjective The implementation of transfering treatment steering about pulmonary tuber-culosis and DOTS management was to improve the discovery rate and the cure rate, and control sources of infection, and effectively prevent tuberculosis. Methods Compared the changing in the data of the 2002-2004 and 2005-2007 Yangyiang City to evaluate effect. Results In 2005-2007 the first smear completion rate and the subsequent smear completion rate and the flint smear negative completion rate and the discovery rate and the referraling rate and the arrival rate and the cure rate and the conversion rate were significantly raised than the 2002-2004's.The growth rate was respective 12.5%, 113.8%, 12.5%, 66.8%, 166.9%, 18.4%, 28.8%.The treatment man-agement steering Ⅱ of pulmonary tuberculosis patient was good effective than the traditional treatment management steering Ⅲ, and reduced intermediate links, and saved the treatment management fees.Conclusions To strengthen and standardize, transfering treatment and tracking patients and visiting and steering was important means of improving the discovery rate and the cure rate.