世界银行贷款中国结核病控制项目病人发现工作评价  

The evoluation on case-finding of tuberculosis control project loaned by the World-Bank

作　　者：戴元生[1] 池延花[1] 苏智[1] 杜昕[1] 王克文[1] 李凤茹[1] 邹极谦 

机构地区：[1]卫生部结核病控制项目办公室,100025

出　　处：《中国防痨杂志》1997年第4期157-160,共4页Chinese Journal of Antituberculosis

摘　　要：世界银行贷款中国结核病控制项目自１９９１－１９９４年涂阳病人新登记率分别为２７．６／１０＾５，２９．４／１０＾５，１７．０／１０＾５，和１６．６／１０＾５；新发肺结核病人中涂阳病人比例，４年来一直保持在５５％以上，均明显高于同期全国监测县和全国平均水平，充分证明了，项目以因症就诊为主要发现方式的技术政策是正确的，技术措施的实施质量是好的，文内就１９９３年以后涂阳新登记率下降原因进行了分析。Tuberculosis control project loaned by the World-Bank has been conducted for four years in China.For the period of 1991—1994,the new smear-positive register rates were 27.6,29.4,17.0 and 16.6 per 100 000 respectively.The proportion of smear-positive case was keeping over 55 per cent.It was obvious- ly higher than that of surveillance counties and national average level for the same period,these fully verified it was correct to take passive case-finding as primary means and the conduct of technical measures was nice. Since 1993 the new smear-positive register rate has decreased.Through analysis of the materials,two major reasons resulting in the decrease were discovered.The primary one was the decrease of suspects year by year (for the period of 1991—1994,the examination rates of suspects decreased from 8.1‰ to 1.7‰).The sec- ond one was failure to transfer all tuberculosis suspects and cases from general hospitals to tuberculosis dis- pensaries.As a result,60% of tuberculosis suspects were retained by general hospitals.A series of measures to improve case-finding are put forward.

关 键 词：肺结核 预防 控制 流行病学 

分 类 号：R521.01[医药卫生—内科学]