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中国防痨杂志 ›› 2011, Vol. 33 ›› Issue (3): 137-140.

• 论著 •    下一篇

上海市浦东新区第五轮中国全球基金流动人口结核病防治项目实施2年效果分析

闫蓓1 蔡凤珠1 白云2 孙乔1   

  1. 1.上海市浦东新区疾病预防控制中，上海，200136；2.上海市浦东新区卫生局，上海，200125
  • 收稿日期:2010-10-26 出版日期:2011-03-20 发布日期:2012-03-16

Effect analysis of Global Fund Round 5 tuberculosis project on floating population in Pudong district,Shanghai

Yan Bei1, Cai Fengzhu1, Bai Yun2, Sun Qiao1   

  1. 1.Pudong district Center for Disease Control and Prevention; Shanghai 200136; China; 2.Bureau of Health of Pudong district; Shanghai 200125;
  • Received:2010-10-26 Online:2011-03-20 Published:2012-03-16
  • Contact: Yan Bei E-mail:yanbei0722@163.com

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摘要： 目的 评价上海市浦东新区第五轮中国全球基金流动人口结核病防治项目实施2年在病人发现、转诊以及确诊病人在沪接受治疗等工作方面的效果。 方法 根据国家结核病相关网络系统以及结核病相关登记本的信息进行整理项目前后比较，应用SPSS软件进行统计学分析。 结果项目实施前1年浦东新区流动人口确诊肺结核病例、新涂阳病例登记率为39.26/10万、9.37/10万，项目第2、3执行年分别提升为51.26/10万、16.09/10万和53.52/10万、18.59/10万，经χ2检验，与项目实施前相比差异均具有统计学意义。流动人口疑似病人转诊到位率项目实施前1年为81.2％，项目实施后提升至90.6％，项目实施前流动人口确诊病人留沪接受治疗时间≥1个月和≥6个月的比例分别为82.9％和70.5%，项目第2、3执行年该2项比例分别为88.2%和80.9%、88.5%和80.4%，经χ2检验与项目实施前比较差异均具有统计学意义。 结论 第五轮中国全球基金流动人口结核病防治项目有效的提升了项目实施区内的流动人口结核病在病人发现、转诊以及确诊病人留沪治疗等方面的工作。

关键词: 结核, 肺/预防和控制, 上海市

Abstract: Objective To evaluate the effects of Global Fund Round 5 project on case detection, referral and treatment of pulmonary tuberculosis (PTB) among floating population in Pudong district.  Methods The data was obtained from “Infectious disease surveillance system” and TB registers.  Results After theproject implementation, the registration rate of PTB patients among the floating population rose significantly from 39.26/100 000 to 51.26/100 000 and 53.52/100 000 for the second and the third implementation year，for new smear positive PTB patients, the registration rate rose from 9.37/100 000 to 16.09/100 000 and 18.59/100 000. The referring in place rate of TB patients by non-TB institutions increased from 81.2% to 90.6% before and after the project implementation. The proportion of patients receiving treatment in Shanghai for more than 1 month and 6 months also increased significantly from 82.9％ and 70.5% to 88.2% and 80.9% for the second implementation year and 88.5% and 80.4% for the third year.  Conclusions The global fund project enhanced the working level of floating population TB case detection, referral and treatment in Shanghai.

Key words: tuberculosis, pulmonary/prevention &, control, Shanghai city

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