2002～2009年郴州市实施结核病控制项目效果  

Evaluation of results of TB control project with World Bank loan/England grant implemented in Chenzhou City

作　　者：苏小可[1] 姚令辉[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]永兴县第二人民医院,湖南永兴423300

出　　处：《中国热带医学》2011年第4期406-408,共3页China Tropical Medicine

摘　　要：目的分析2002～2009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2002～2009年结核病控制项目报表及相关资料进行整理和统计分析。结果2002～2009年共接诊可疑病人100072例，平均就诊率为279．24／10万，由2002年的209．81／10万上升至2009年的315．93／10万；共发现涂阳病人17073例，涂阳病人登记率平均为47．64／10万；2002～2008年共治愈涂阳病人13665例，涂阳病人治愈率平均为91．22％。涂阳病人中转诊所占百分率逐年上升，各年度间比较差异有统计学意义（χ2=838．07，P〈O．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，但对肺结核病人的耐药性问题必须引起高度重视。Aim To evaluate results of TB control project with World Bank loan/England grant implemented in Chenzhou City,Hunan Province. Methods The report forms and relevant data of TB control project from 2002 to 2009 were collected and statistically analyzed. Results During the period of 2002-2009,100 072 suspected TB eases received clinical consultation,the average rate of medical diagnosis of suspected TB cases was 279.24/100,000,the rate of seeking medical care by suspected TB cases went up from 209.811100 000 in 2002 to 315.93/100 000 in 2009.During the eight years, 17,073 smear positive TB patients were found, and the average registration rate of smear positive TB patients was 47.64/100 000.There 13 665 smear positives were cured from 2002 to 2008,and the average cure rate of smear positive TB patients was 91.22%.The proportion of cases from referral in all the smear positive TB patients increased year by year,and the difference among 8 years was statistically significant （χ2=838.07 ,P〈0.01 ）. Conclusion Through implementation of TB control project with Wolrd Bank loan/England grant in Chenzhou City, the goals of high case finding rate and high cure rate have been achieved,and the main targets attained. Bur attention be paid to the management of drug resistant TB patients.

关 键 词：肺结核 控制项目 评估 

分 类 号：R52[医药卫生—内科学]