关键词: 结核, 肺/预防和控制

Abstract: Objective To analyse the influence of Chinese Tuberculosis Control Project(CTCP) on pulmonary tuberculosis report. Methods The progress of tuberculosis prevention and control in Qiandongnan,was reviewed and the data of pulmonary tuberculosis reports and project work report of CTCP during 2002 to 2004 in Qiandongnan were analyzed. Results The smear-positive pulmonary tuberculosis reporting rate has increased annually from 4.84/100 000 in 2002 to 25.37/100 000 in 2004 since CTCP was conducted in Qiandongnan.Pulmonary tuberculosis reporting rate did not increase substantially,which was 22.0% higher in 2003 compared with it in 2002,but was 4.7% lower in 2004 lower compared it in 2003.The increase of smear-positive pulmonary tuberculosis reporting rate was due to the increase of sputum examination rate in the project counties.The sputum examination rate in project counties was 60% and 35.9% in 2002 and 2003 respectively,which was significantly higher than the level of 6.3% and 5.8% in the non-project counties in 2002 and 2003(P<0.01).The pulmonary tuberculosis reporting rate in project counties was 132.7/100 000 and 165.3/100 000 in 2002 and 2003,significantly higher than the level of 109.6/100 000 and 89.4/100 000 in the non-project counties in 2002 and 2003(P<0.05).The pulmonary tuberculosis reporting rate and smear-positive pulmonary tuberculosis reporting rate were higher in the project counties than the pulmonary tuberculosis reporting rate and notification of smear positive tuberculosi in the TB dispensary. Conclusion CTCP has positive effect on pulmonary tuberculosis reporting in Qiandongnan,with the annual increase in smear-positive pulmonary tuberculosis reporting rate and smear-positive pulmonary tuberculosis reporting rate.Howver,the referral and reporting should be further strengthened to improve the tuberculosis control in Qiandongnan

Key words: Pulmonary tuberculosis /prevention and control