提高贫困地区肺结核病人发现方法探讨

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (9): 501-504.

• 论著 • 下一篇

提高贫困地区肺结核病人发现方法探讨

李俊娟¹；张建立²；樊利红¹；王丽芳¹；李国刚¹

1.河北省疾病预防控制中心石家庄 050021；2.河北省正定县疾病预防控制中心正定 050800

出版日期:2009-09-10 发布日期:2011-11-03
基金资助:
国家全球基金第一轮(结核病项目编码：CHN-102-G01-T-00)

Discussion on the method for improving TB case detection in poor area

Li Junjuan¹, Zhang Jianli², Fan Lihong¹,Wang Lifang¹,Li Guogang¹

1.Hebei Center for Disease Control and Prevention, Shijiazhuang 050021, China;2. Zhengding County Center for Disease Control and Prevention, Shijiazhuang 050800, China

Online:2009-09-10 Published:2011-11-03

摘要/Abstract

摘要： 目的探讨适合贫困地区结核病控制的模式，提高贫困地区肺结核病人的发现率。方法根据贫困地区特点，结合现代结核病控制策略，借助实施的全球基金结核病项目，加大政府投入、社会多部门参与结核病控制、强化基层三级防控体系、医防合作、建立乡镇痰检点、实施多种形式的结防宣传、落实病人发现与化疗管理激励政策的综合防治模式。结果2003—2007年，政府加大对结核病控制工作投入，投入金额达880.76万元，是以往投入的1.52倍；肺结核病人接受结防宣传比例提高了24.4%；综合医院肺结核病人转诊率和总体到位率分别提高18.4%和26.0%，可疑病人就诊率从1.8‰提高到3.2‰，新涂阳肺结核病人登记率有所提高；乡镇痰检点检出了涂阳病人440例；新涂阳治愈率保持在94%以上。结论建立政府投入、社会多部门参与、发挥基层三级结防网络优势互补、医防合作、乡镇痰检点设立、实施多种形式健康促进和落实激励政策综合防控措施，对提高结核病人发现率、提高病人治疗管理质量和保持高治愈率在贫困地区行之有效。

关键词: 结核, 肺/预防和控制, 贫困区,

结核, 肺/预防和控制, 贫困区

Abstract: ObjectiveTo discuss the TB control model fit for poor area to improve the case detection in that area. MethodsAccording to the feature of the poor area，combining with DOTS strategy, with the help of The Global Fund, increasing the government investment, establishing multi-sectoral participation, strengthening grass-roots prevention and control system, implementing the cooperation between hospital and TB control institute, establishing the township TB sputum examination station, implementing variety of forms of TB propaganda, implementing the incentive policy for TB case finding and management. ResultsFrom 2003 to 2007, the investment of local government was 1.52 times of that in five years, the proportion of TB cases received propaganda was increased by 24.4%, the referral rate and the overall arrival rate of general hospital were 18.4% and 26.0% higher respectively. The consulting rate of TB suspects was promoted form 1.8‰ to 3.2‰, the new smear positive registration rate was improved, 440 TB cases were detected in township TB sputum examination station, and the cure rate of new smear positive cases was above 94% from 2003 to 2007. ConclusionsThe integrated model of control TB from increasing investment of government, establishing multi-sectoral participation, strengthening grass-roots prevention and control system, implementing the cooperation between hospital and TB control institute, establishing the township TB sputum examination station, implementing variety of forms of TB propaganda and implementing the incentive policy for TB case finding and management in poor area has got a desired Results of TB case detection and treatment.

Key words: Tuberculosis,pulmonary/prevention &, control, Poverty areas,

Tuberculosis,pulmonary/prevention &, control, Poverty areas

李俊娟,张建立,樊利红,王丽芳,李国刚. 提高贫困地区肺结核病人发现方法探讨[J]. 中国防痨杂志, 2009, 31(9): 501-504.

Li Junjuan¹, Zhang Jianli², Fan Lihong¹,Wang Lifang¹,Li Guogang¹. Discussion on the method for improving TB case detection in poor area[J]. Chinese Journal of Antituberculosis, 2009, 31(9): 501-504.

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提高贫困地区肺结核病人发现方法探讨

Discussion on the method for improving TB case detection in poor area

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