2019—2022年湖南省遏制结核病行动计划实施效果分析  

Implementation effect of the Action Plan to Stop Tuberculosis(2019-2022)in Hunan Province

作　　者：张苏蕾 龚德华 万燕萍 刘礼亲 徐祖辉 ZHANG Sulei;GONG Dehua;WAN Yanping;LIU Liqin;XU Zuhui Hunan(Institute for Tuberculosis Control,Hunan Chest Hospital,Changsha,Hunan 410013,China)

机构地区：[1]湖南省结核病防治所(湖南省胸科医院),湖南长沙410013

出　　处：《实用预防医学》2025年第3期302-305,共4页Practical Preventive Medicine

摘　　要：目的了解湖南省《2019—2022年遏制结核病行动计划》贯彻落实情况,为今后结核病防控工作提供参考依据。方法通过常规监测、现场调查和专项调查获得数据和资料,分析行动计划实施效果。结果2019—2022年湖南省共报告肺结核患者202376例,患者数年递降率为8.07%;肺结核报告发病率从2019年的82.07/10万降至2022年的66.40/10万,年递减率6.82%,呈逐年下降趋势(χ^(2)_(趋势)=1131.00,P<0.01)。全省肺结核及疑似肺结核患者的转诊追踪总体到位率均保持在95%以上。登记的活动性肺结核患者治疗成功率均保持在90%以上。登记的病原学阳性肺结核患者密切接触者总筛查率均保持在95%以上。学生肺结核报告发病率从2019年的20.03/10万降至2022年的11.91/10万,年递减率15.91%,呈逐年下降趋势(χ^(2)_(趋势)=320.30,P<0.01)。2022年全省结核病定点医疗机构人员及疾病预防控制机构人员较2019年分别增加了7.90%和0.66%。结论2019—2022年湖南省肺结核登记患者数与报告发病率均有一定程度下降,全省结核病防治服务能力及工作水平持续提升,《2019—2022年遏制结核病行动计划》主要工作指标及任务全面完成,达到行动目标要求。Objective To understand the implementation of the Action Plan to Stop Tuberculosis(2019-2022)in Hunan Province,and to provide a reference basis for tuberculosis prevention and control in future.Methods Data and materials were obtained through routine monitoring,on-site investigations and special investigations,and the implementation effect of the Action Plan to Stop Tuberculosis(2019-2022)was analyzed.Results A total of 202,376 pulmonary tuberculosis cases were registered in Hunan Province from 2019 to 2022,with an annual decline rate of 8.07%in the number of patients.The reported incidence rate of pulmonary tuberculosis decreased from 82.07/100,000 in 2019 to 66.40/100,000 in 2022,with an average annual decline rate of 6.82%,showing a downward trend year by year(χ^(2)_(trend)=1,131.00,P<0.01).The overall arrival rates of referral and tracking for pulmonary tuberculosis patients and suspected pulmonary tuberculosis patients in the whole province remained above 95%.The treatment success rates of registered active pulmonary tuberculosis patients remained above 90%.The total screening rates of close contacts of registered pathogen-positive pulmonary tuberculosis patients remained above 95%.The reported incidence rate of pulmonary tuberculosis among students decreased from 20.03/100,000 in 2019 to 11.91/100,000 in 2022,with an annual decline rate of 15.91%,showing a decreasing trend year by year(χ^(2)_(trend)=320.30,P<0.01).The number of staff in tuberculosis designated medical institutions and disease prevention and control institutions in the whole province in 2022 increased by 7.90%and 0.66%respectively compared with those in 2019.Conclusion The number of registered pulmonary tuberculosis patients and the reported incidence rates in Hunan Province in 2019-2022 had a certain degree of decline.The service capacity and work level of tuberculosis prevention and control in the whole province have been continuously improved.The main work indicators and tasks of the Action Plan to Stop Tuberculosis(2019-2022)have been

关 键 词：结核病 行动计划 实施效果 

分 类 号：R52[医药卫生—内科学]