2003-2007年郴州市世行贷款/英国赠款结核病控制项目实施情况分析  

Implementation of TB Control Project With World Bank Loan/England Grant in Chenzhou,2003-2007

作　　者：姚令辉[1] 苏小可[1] 刘松山[1] 匡旭中 

机构地区：[1]郴州市疾病预防控制中心,湖南郴州423000 [2]湖南永兴县第二人民医院

出　　处：《预防医学情报杂志》2010年第8期603-606,共4页Journal of Preventive Medicine Information

摘　　要：目的分析2003-2007年郴州市实施世行贷款/英国赠款结核病控制项目情况,为进一步做好该市结核病控制工作提供科学依据。方法对该市2003-2007年结核病控制项目报表及相关资料进行整理和流行病学分析。结果 2003-2007年共接诊可疑患者62884例,平均就诊率为279.78/10万,由2003年的220.42/10万上升至2007年的352.09/10万;共发现涂阳患者11160例,其中初治涂阳10047例,复治涂阳患者1113例,涂阳患者登记率平均为49.65/10万;共治愈涂阳患者10263例,涂阳患者治愈率平均为91.96%。转诊占涂阳患者的百分率逐年上升,各年度间比较差异有统计学意义(χ2=279.8,P<0.01)。结论郴州市实施世行贷款/英国赠款结核病控制项目实现了高发现率和高治愈率的目标,各项主要指标达到项目要求,但对肺结核病患者的耐药性问题必须引起高度重视。Objective To evaluate the implementation of tuberculosis（TB） control project with World Bank loan/England grant in Chenzhou from 2003 to 2007,and provide scientific evidences for improving TB control.Methods The report forms and relevant data of the project during this period were analyzed statistically.Results A total of 62 884 suspected TB patients received clinical consultation,the average medical care seeking rate of the suspected TB patients was 279.78/105,which was 220.42/105 in 2003 and 352.09/105 in 2007.Up to 11 600 smear positive TB cases were diagnosed,including 10 047 firstly treated smear positive TB cases and 1 113 re-treated smear positive TB cases.The average registration rate of smear positive TB case was 49.65/105.Totally 10 263 smear positive TB patients had been cured,the average cure rate was 91.96%.The referral rate of smear positive TB patients increased year by year,and the differences were statistically significant（χ2=279.8,P0.01）.Conclusion Through the implementation of TB control project with World Bank loan/England grant in Chenzhou,the goals of high case finding rate and high cure rate have been achieved,and the main indicators have reached the project requirements.However,it is important to pay more attention on the control of drug resistant TB.

关 键 词：肺结核 控制项目 分析 

分 类 号：R521[医药卫生—内科学]