世界银行贷款结核病控制项目实施情况分析与探讨  

The analysis and exploration on the implement situation of the WB-loaned tuberculosis control project

作　　者：万利亚[1] 赵丰曾[1] 池延花[1] 邹级谦[1] 戴元生[1] 杜昕[1] 王克文[1] 李凤茹[1] 苏智[1] 

机构地区：[1]卫生部结核病控制项目办公室

出　　处：《中国防痨杂志》1996年第3期103-108,共6页Chinese Journal of Antituberculosis

摘　　要：报告世界银行贷款结核病控制项目。截止１９９５年９月底，县和人口的受益覆盖率分别达到了原设计的９２．５％和９５．４％。累计接诊可疑肺结核症状者２１７９６８４例，发现涂阳肺结核病人３０５５９６例，新发涂阳病人１７１３０４例。１９９５年涂阳登记率和新登记率分别为项目实施前的３倍和２倍。新发涂阳病人的平均治愈率达９０．８％，三年来呈上升趋势，反映了管理水平的提高。项目中急待解决的问题是如何提高病人的发现登记率，作者建议将结核病从传染病管理办法中的丙类监测性疾病改为乙类传染病，以加强行政干预，促进结核病人的归口治疗管理。To report the WB-loaned tuberculosis control project. By the end of September 1995 the coverage rates of counties and population were 92.5% and 95.4% of the original planned numbers in the project.A total number of suspects examined was 2 179 684.A total of 305 596 smear positive cases and 171 304 new smear positive cases were registered. The smear positive registration rate and new registration rate are 3 and 2 times of those before the project.The average cure rate of new smear positive cases was 90.8%. It appeared an increased tendency in past three years and reflected an improvement of management level. The urgent problem to be solved is to improve the case finding registration rate. The author recommended that tuberculosis should be changed from the third grade surveillant disease to the second infectious disease in the infectious disease management measures, so as to strengthen the government participation and improve the transfer of all tuberculosis suspects and cases.

关 键 词：结核病 预防 控制 

分 类 号：R520.1[医药卫生—内科学]