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目的分析评价顺昌县2002—2009实施结核病规划成效,为结核病防治可持续发展提供参考建议。方法根据福建省结核病防治规划终期评估资料对2002—2009年上半年规划期间项目实施成效进行评价分析。结果 8年内结核病可疑症状者平均就诊率1.53‰,共发现活动性病例998人,其中初治涂阳590例,复治涂阳113例。至2009年上半年,初、复治涂阳病人治愈率分别达89.3%和63.6%。因结核死亡病例减少了217例,避免了3 843人被感染和384个新发肺结核病人(384个新发患者估计医疗费26.16万元),挽回4 655伤残调整生命年(DALY),挽回社会总价值3 941.9万元,成本效用比值为134.8,效益成本比值为63.2。结论顺昌县通过实施结核病规划,获得良好的社会效果和社会效益。
Objective To analyze and evaluate the effectiveness of implementing tuberculosis planning in Shunchang County from 2002 to 2009 so as to provide reference for the sustainable development of tuberculosis prevention and control. Methods According to the final evaluation data of TB prevention and control program in Fujian Province, the effectiveness of the project during the first half of 2002-2009 was evaluated and analyzed. Results The average visiting rate of suspected tuberculosis patients within 8 years was 1.53 ‰. A total of 998 active cases were found, of which 590 were smear-positive and 113 were smear-retreated. By the first half of 2009, the cure rates of smear-positive patients and smear-positive patients reached 89.3% and 63.6% respectively. The number of deaths from tuberculosis was reduced by 217 cases, 3 843 were infected and 384 new tuberculosis patients (386 new patients were estimated to cost 261.6 thousand yuan), 4 655 DALY were saved, The total social value of 39.499 million yuan, the cost-utility ratio of 134.8, the cost-benefit ratio of 63.2. Conclusion Shunchang County through the implementation of tuberculosis planning, access to good social and social benefits.