新疆维吾尔自治区“十三五”结核病防治规划实施效果评价  

Evaluation of the implementation effect of the“13th Five Year Plan”tuberculosis prevention and control program in Xinjiang Uygur Autonomous Region

作　　者：刘年强[1] 王森路 王乐[1] 依帕尔·艾海提[1] 祖力卡提阿衣·阿布都拉 董晓[1] 王新旗[1] LIU Nianqiang;WANG Senlu;WANG Le;YIPAER·Aihaiti;ZULIKATIAYI·Abudula;DONG Xiao;WANG Xinqi(Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830011,China;School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830002,China)

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830011 [2]新疆医科大学公共卫生学院,新疆乌鲁木齐830002

出　　处：《热带医学杂志》2024年第7期1026-1030,共5页Journal of Tropical Medicine

基　　金：新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY⁃202242)。

摘　　要：目的评价新疆维吾尔自治区“十三五”结核病防治规划实施效果,为“十四五”新疆结核病防控措施的制定提供参考。方法利用传染病监测报告系统和现场专题调查,收集2016年1月1日-2020年12月31日期间结核病患者发病、登记治疗数据及防治服务体系建设情况,对结核病防治关键指标进行评价。结果“十三五”期间,新疆肺结核报告发病率呈先上升后逐年下降的趋势,各年份间差异有统计学意义(χ^(2)=103.723,P<0.05),从2016年的185.66/10万下降至2020年的109.89/10万,年平均递降率12.29%。到2020年底,肺结核患者成功治疗率为95.26%,各年份间差异无统计学意义(χ^(2)=3.994,P=0.407);肺结核患者病原学阳性率为57.94%,肺结核患者和疑似肺结核患者总体到位率为98.37%,耐多药高危人群耐药筛查率为99.80%,新病原学阳性人群耐药筛查率为99.81%,各年份间差异均有统计学意义(χ^(2)=57.711、10.305、105.829、176.191,P均<0.05)。地(州、市)、县(市、区)级分子生物学检测能力覆盖率100.00%。公众结核病防治核心知识知晓率为83.70%。结论新疆维吾尔自治区“十三五”结核病防治规划各项目标基本达标,但现行防控措施的可持续性、结核病患者精细化诊疗管理以及高疫情地区的结核病防治等方面仍然是下一步工作面临的挑战。Objective To evaluate the implementation effect of the“13th Five Year Plan”tuberculosis prevention and control program in Xinjiang,and provide reference for the formulation of tuberculosis prevention and control measures in Xinjiang during the“14th Five Year Plan”.Methods By using the infectious disease monitoring and reporting system and on⁃site special surveys,data on the incidence,registration and treatment of tuberculosis patients,and the construction of the prevention and control service system were collected from January 1,2016 to December 31,2020,and evaluated the key indicators of tuberculosis prevention and control.Results During the“13th Five Year Plan”period,the reported incidence rate of pulmonary tuberculosis in Xinjiang showed a trend of first rising and then declining year by year,with a statistically significant difference between years(χ^(2)=103.723,P<0.05);decreased from 185.66/100000 in 2016 to 109.89/100000 in 2020,with an average annual decline rate of 12.29%.By the end of 2020,the successful treatment rate of pulmonary tuberculosis patients was 95.26%,and there was no statistically significant difference between different years(χ^(2)=3.994,P=0.407);the pathogenic positive rate of pulmonary tuberculosis patients was 57.94%,the overall arrival rate of pulmonary tuberculosis patients and suspected pulmonary tuberculosis patients was 98.37%,the screening rate for multidrug⁃resistant high⁃risk population was 99.80%,the drug resistance screening rate of the new pathogen positive population was 99.81%,and the difference between different years were statistically significant(χ^(2)=57.711,10.305,105.829,176.191;all P<0.05).The coverage rate of molecular biology detection capabilities at the prefecture(state,city),county(city,district)level was 100.00%.The awareness rate of public tuberculosis prevention and control core knowledge was 83.70%.Conclusion The objectives of the tuberculosis prevention and control plan of the“13th Five Year Plan”in Xinjiang Uygur Autonomous Region

关 键 词：“十三五”规划 结核病防治 实施效果 新疆维吾尔自治区 

分 类 号：R52[医药卫生—内科学]