《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 196-197.

• 社区康复 • 上一篇    下一篇

麻风病致残者的社区康复

张连华1; 许卫国1; 王宏军2; 陆泽中2   

  1. 1.江苏省疾病预防控制中心,江苏南京市 210009;2.姜堰市疾病预防控制中心,江苏姜堰市 225500
  • 收稿日期:2008-09-21 出版日期:2008-02-01 发布日期:2008-02-01

Community-based Rehabilitation on Disabled Affected by Leprosy

ZHANG Lian-hua, XU Wei-guo, WANG Hong-jun, et al.   

  1. Jiangsu Provincial Center for Disease Prevention & Control, Nanjing 210009, Jiangsu, China
  • Received:2008-09-21 Published:2008-02-01 Online:2008-02-01

摘要: 目的探索开展社区麻风康复的方式。方法选择2个麻风残疾者较多的镇开展麻风残疾者社区服务康复站试点工作,以当地县、镇两级政府为主导,在镇卫生院内设立康复服务站,利用镇卫生院的卫生资源优势,实行麻风残疾者自愿原则,由县卫生行政主管部门对提供康复服务的医院和医生进行有偿补贴,定期免费为麻风残疾者提供康复服务。结果康复服务站工作呈惯性运行,服务区域范围扩大,绝大多数患者的暴露性结合膜炎、手足皲裂、足溃疡得到愈合或明显改善;康复服务站形式得到当地社会和麻风残疾者的认同;医院和医生从中得到一定的经济补偿。结论麻风残疾者社区康复应是今后我国麻风康复工作的重心,社区综合性医疗机构有偿开展麻风残疾康复工作是可行的,体现和深化了WHO提出的实现麻风防治工作可持续发展的一体化策略。

关键词: 麻风, 残疾者, 社区康复

Abstract: Objective To explore the manner of the community-based rehabilitation(CBR)on the disabled affected by leprosy(DAL).Methods Two towns with more DALs were selected as pilot areas to set up a station for CBR in township hospital respectively.Under the leadership of governments on local county and township levels and using the health resources of township hospital recovery service was offered freely to DALs periodically.Certainly,the DALs were willing to participate the program,the township hospital and doctors offered service should be paid by local county health bureau.Results The station for CBR had run in right path and its range of service expanded around the 2 towns.Most part of DALs had cured or distinctly improved their exposure conjunctivitis,cracks of in numb hands and feet,foot ulcers.The style of the station for CBR had been accepted by local people and DALs.Finally,the township hospital and doctor offered service also earned from the station for CBR service.Conclusion CBR should be the most important part of leprosy rehabilitation.The general health services offering the rehabilitation of leprosy work is feasible,which only need pay a little.It also reflects and deepens the strategy advocated by WHO on the sustainability of Leprosy Control Program.

Key words: leprosy, the disable, community-based rehabilitation(CBR)