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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (3): 129-133.

• 论著 • 上一篇    下一篇

陕西省世界银行贷款/英国赠款结核病控制项目6年效果分析

鲜小萍, 郭刘家, 张天华, 陈广华, 刘卫平   

  1. 陕西省结核病防治研究所,西安
  • 出版日期:2010-03-20 发布日期:2010-03-20
  • 通信作者: 鲜小萍 E-mail:xxpfzhk@126.com

Analysis on effects of World Bank Loaned TB Control Project in Shanxi Province during 2002—2007

Xian Xiaoping,Guo Liujia,Zhang Tianhua,Chen Guanghua,LiuWeiping   

  1. Shanxi Provincial Institute  for TB Control and Prevention,Xi’an 710048,China
  • Online:2010-03-20 Published:2010-03-20
  • Contact: Xian Xiaoping E-mail:xxpfzhk@126.com

摘要: 目的 分析陕西省世界银行贷款/英国赠款结核病控制项目实施6年的效果,为我省结核病防治工作可持续发展提供可参考。 方法 收集2002—2007年陕西省107个区(县)项目季报表,对全省DOTS策略覆盖率、肺结核可疑症状者就诊率、肺结核患者登记率和治愈率等主要指标进行统计分析。结果全省2002年启动DOTS策略,2005年以县为单位DOTS策略覆盖率达到了100%。2002—2007年,全省接诊肺结核可疑症状者386-281例,可疑症状者就诊率逐年增高;发现涂阳肺结核患者61-293例,其中新涂阳肺结核患者45-123例,新涂阳肺结核登记率平均为20.45/10万,2004—2007年,新涂阳肺结核发现率平均为87.72%。初治涂阳肺结核治愈率平均为90.6%,复治涂阳患者治愈率平均为81.7%。结论 该项目促进了DOTS 策略的快速扩展,提高了肺结核患者的发现率和治愈率,产生了明显的社会效益和经济效益。

关键词: 结核, 肺/预防和控制, 陕西省

Abstract: Objective To analyze the effects of World Bank Loaned TB Control Project in Shanxi Province during 2002—2007 and provide evident base for sustainable development of TB control in Shanxi Province.   Methods Quarterly reports of the project from 107 districts/counties were analyzed and statistical analysis were made for main indicators including DOTS coverage rate, registration rate of TB suspects and of pulmonary TB cases and cure rate etc.   Results Shanxi started DOTS strategy in 2002 and its DOTS coverage rate reached 100% in 2005. During 2002—2007, the whole province admitted a total of 386-281 cases of TB suspects, and registration rate of TB suspects rose by year. 61-293 cases of smear positive pulmonary TB cases were detected. Among which, 45-123 were new smear positive. Registration rate of new smear positive were 20.45/100000 averagely, and during 2004—2007, detection rate of new smear positive were 87.72% averagely. Cure rate for new smear positive and retreatment positive cases were 90.6% and 81.7% respectively.  Conclusion The project has accelerated the rapid expansion of the DOTS strategy, improved TB detection and cure rates, and produced obvious social and economic benefits.

Key words: tuberculosis, pulmonary/prevention and control, Shanxi province