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目的分析新疆世行贷款/英国赠款中国结核病控制项目的实施效果,提出新疆自治区结核病控制工作可持续发展建议,为制定2011—2020结核病规划提供科学依据。方法根据项目终期评估调查表,收集分析全区96个县市2002—2009年相关资料,汇总分析。结果通过项目的实施,全面推行了现代结核病控制策略(DOTS),积极发现和治愈传染性肺结核。(1)实现了肺结核病人的高发现率。涂阳肺结核病人的登记率逐年提高,从2002年的52.03/10万提高至2005年的89.38/10万,2002—2009年累计完成项目涂阳病人发现指标的110%。(2)98%以上的传染性肺结核落实了免费治疗和管理,初治涂阳病人治愈率达到94.7%,治疗成功率为96.3%。复治涂阳病人治愈率达到91.4%,治疗成功率为94.7%。(3)2002—2009年项目执行期间,累计免费治疗涂阳肺结核病人78 782例,共计为全区广大农牧民节约医药费用6亿多元。结论世行贷款结核病控制项目实施促进了结核病规划目标实现,达到了高发现率高治愈率的控制目标,取得了显著社会效益和经济效益。
Objective To analyze the implementation effect of Xinjiang World Bank Loan / British Grants China TB Control Project and put forward the sustainable development proposals of tuberculosis control work in Xinjiang Autonomous Region to provide a scientific basis for formulating the TB program 2011-2020. Methods Based on the questionnaire for the final assessment of the project, the relevant data from 2002 to 2009 in 96 counties and cities in the whole district were collected and analyzed, and the summary analysis was made. Results Through the implementation of the project, the modern control strategy for tuberculosis (DOTS) was fully implemented to actively detect and cure infectious tuberculosis. (1) Achieved a high detection rate of tuberculosis patients. The registration rate of smear positive TB patients increased year by year from 52.03 / 100,000 in 2002 to 89.38 / 100 in 2005, and 110% of the indicators of smear positive patients were completed in 2002-2009. (2) More than 98% of infectious tuberculosis was implemented for free treatment and management. The cure rate of smear-positive patients reached 94.7% and treatment success rate was 96.3%. The cure rate of smear positive patients reached 91.4%, the success rate of treatment was 94.7%. (3) During the project implementation from 2002-2009, a total of 78 782 cases of smear-positive pulmonary tuberculosis were cumulatively treated free of charge, totally saving more than 600 million yuan of medical expenses for farmers and herdsmen in the region. Conclusion The implementation of World Bank loan TB control project has promoted the goal of TB program and achieved the control target of high detection rate and high cure rate, and achieved significant social and economic benefits.