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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (1): 6-10.

• 论著 • 上一篇    下一篇

深圳市结核病防治规划实施5年效果分析

许丽, 杨应周, 吴清芳, 张玉华, 管红云, 李明珍   

  1. 深圳市慢性病防治中心；
  • 出版日期:2010-01-20 发布日期:2010-01-20

Analysis of 5 years implementation effect of TB control program in Shenzhen

Xu Li,Yang Yingzhou,Wu Qingfang,Zhang Yuhua,Guan Hongyun,Li Mingzhen   

  1. Shenzhen center for chronic disease control,Shenzhen 518020,China
  • Online:2010-01-20 Published:2010-01-20
  • Contact: Yang Yingzhou E-mail:szyyz@china.com

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摘要： 目的 分析规划开展5年间深圳市结核病控制效果，为下一步工作策略的制定提供科学依据。方法 以2001—2005年深圳市结核病控制实施的信息月报、季报和年报、全市结核病控制年终总结和深圳市信息统计年鉴为资料来源，评估并分析深圳市专项经费计划落实情况；机构和队伍建设和肺结核病人发现和管治情况等。结果政府制定了工作计划。落实专项经费共4 341.62万元；进一步完善了结核病防治机构和人力资源建设；DOT覆盖率100%，发现活动性肺结核病人15 364例，其中流动人口肺结核占72.3%；发现涂阳肺结核病人11 500例，治愈率户籍人口94.6%，流动人口69.4%；共转诊83 019例可疑或确诊的肺结核病例，转诊直接到位率户籍和流动人口分别是 81.7%和66.4%；追踪26 391例，转诊到位率户籍和流动人口分别是95.1%和18.6%；5年间发现的活动性肺结核病例数、涂阳例数、治愈例数、转诊和追踪例数均逐年大幅增多（P均<0.05），但涂阳检出率、治愈率、转诊到位率和追踪到位率等均无明显增高（P>0.05），甚至流动人口追踪到位率有明显下降趋势（P<0.05）。 结论 深圳市5年间发现、管理并治愈了大量肺结核病人，但由于近年流动人口肺结核病例大幅增多，工作量及工作难度增大，工作质量尚有很多缺陷，有待进一步提高。

关键词: 结核, 肺/预防和控制, 深圳市

Abstract: Objective To analyze the implementing effect of 5 year TB control program in Shenzhen, and provide evidence basis for formulation of next step TB control strategy.   Methods Data from monthly, quarterly, and annual reports as well as the city’s year-end summary of TB control work and statistical yearbook were used to assess and analyze the devotion of governmental special TB working fund, capacity building, patients detection and management etc.   Results The Government developed work plan and devoted special fund of 43.416 2 million yuan in total; Organizational development and capacity building are further improved. DOTS coverage is 100%. A total of 15 364 active pulmonary tuberculosis patients were found, among which 72.3% were mobile population; 11 500 cases of smear positive pulmonary tuberculosis patients were found; Cure rate is 94.6% for local residence, 69.4% for mobile population; a total of 83 019 cases of suspected or confirmed tuberculosis were referred, among these referred cases, direct arrival rate after referral were 81.7% and 66.4% for local residence and mobile population respectively; 26 391 cases were tracked; referral rate in place for local residence and mobile population were 95.1% and 18.6% respectively. Within 5 year period, the detected number of active pulmonary tuberculosis and smear positive cases, cured cases, referred cases and cases tracked have increased substantially year by year (P all<0.05); however, the detection rate of smear-positive, the cure rate, direct arrival rate after referral and tracing arrival rate were all not significantly increased (P>0.05), even for mobile population, the tracing arrival rate showed a significant downward trend (P<0.05).   Conclusion s A large number of pulmonary tuberculosis cases were diagnosed, treated and cured within 5 years.however because of a substantial increase in the mobile population, the workload and difficulty of TB control increased as a result. There are many defects in the quality of work to be further improved.

Key words: tuberculosis, pulmonary/prevention and control, Shenzhen city

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