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目的 : 探索军队结核病控制策略和方法 ,为修改及制定部队结核病防治措施提供科学依据。方法 :建立结核病防治组织 ,制定标准 ,实行分级收治、分类管理和逐级督导的化疗管理模式 ,以及双卡报告、痰检质控等监督管理制度 ,加强技术培训、防痨宣教和药物预防等综合性防治措施。结果 :病人规则化疗完成率由 4 6.7%上升至 98.5 % ,治愈率由 69.9%上升到 98.5 % ,肺结核发病率由 163.1·10 - 5下降至 62 .0·10 - 5。结论 :军队结核病防治必须有明确、统一的组织与管理 ,并结合部队特点 ,实行灵活的全程督导化疗管理和综合性防制措施。
Objective: To explore strategies and methods for controlling tuberculosis in the military and to provide a scientific basis for the revision and formulation of prevention and control measures for tuberculosis in the armed forces. Methods: To establish a TB prevention and treatment organization, to set standards, to implement a classification management and step by step supervision of chemotherapy management mode, and dual-card report, sputum quality control and other supervision and management system, strengthen technical training, prevention and education and drug prevention Comprehensive prevention and control measures. Results: The completion rate of regular chemotherapy increased from 4 6.7% to 98.5%, the cure rate increased from 69.9% to 98.5%, and the incidence of pulmonary tuberculosis dropped from 163.1 to 10. Conclusion: There must be a clear and unified organization and management of tuberculosis prevention and control in the armed forces. In combination with the characteristics of the armed forces, a flexible and flexible management of the entire course of chemotherapy and comprehensive prevention and control measures should be implemented.