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目的评价福建省2001—2010年结核病防治规划实施的效果,总体目标及工作指标完成情况,分析实施过程中存在的困难和问题,为全省结核病防治工作可持续发展提供参考的依据。方法收集2001—2010年福建省9个设区市86个县(市、区)报表,各级规划评估表格及结核病专报系统的相关信息,应用Excel 2007和SPSS 15.0进行数据统计分析。结果 (1)全省2002年启动DOTS策略,2004年以县(区)为单位DOTS策略覆盖率达到了100.0%。(2)2001至2010年,全省发现活动性肺结核患者220 351例,其中新涂阳肺结核患者110 343例,新涂阳肺结核登记率平均为32.0/10万;共治愈初治涂阳肺结核患者92 440例,治愈率平均为90.7%。2005—2010年期间平均转诊到位率为40.5%(60 336/148 944),追踪到位率从47.0%(4350/22 922)提高到91.0%(12 325/24 799),总体到位率从63.1%(14 471/22 922)提高到93.6%(23 203/24 799)。(3)2009年与2001年相比,全省结核病防治人员增加了39.1%,本科及以上学历人员增加了118.4%,中高级职称人员增加了69.4%(93/134)。(4)避免了742 202名健康人感染结核分枝杆菌和74 220例新发结核病患者的产生,减少医疗费用5056万元,挽回社会经济损失154亿元。结论福建省实施规划的10年期间,结核病防治工作取得了显著成绩。
Objective To evaluate the implementation, overall objective and accomplishment of TB targets in Fujian Province from 2001 to 2010, and to analyze the difficulties and problems in the implementation of TB prevention and treatment plans in Fujian Province, so as to provide reference for the sustainable development of tuberculosis prevention and control in Fujian Province. Methods The data of 86 counties (cities, districts), planning evaluation forms and tuberculosis reporting system in 9 districts of Fujian Province from 2001 to 2010 were collected and statistically analyzed with Excel 2007 and SPSS 15.0. Results (1) The DOTS strategy was launched in 2002 in the whole province. In 2004, DOTS strategy coverage reached 100.0% by county (district). (2) From 2001 to 2010, a total of 220 351 active tuberculosis patients were found in the province, of which 110 343 were new smear-positive pulmonary tuberculosis patients and 32.0 / 100 000 were newly smear-positive pulmonary tuberculosis patients. A total of 220 351 patients with newly diagnosed pulmonary tuberculosis were cured 92 440 cases, the average cure rate was 90.7%. The average referral rate during the period 2005-2010 was 40.5% (60 336/148 944) and the tracking rate increased from 47.0% (4350/22 922) to 91.0% (12 325/24 799) with an overall penetration rate of 63.1 % (14 471/22 922) to 93.6% (23 203/24 799). (3) Compared with 2001, the number of tuberculosis prevention and control staff in the province increased by 39.1% in 2009, 118.4% in bachelor degree or above, and 69.4% (93/134) in middle and senior professional titles. (4) 742 202 healthy people were prevented from being infected with Mycobacterium tuberculosis and 74,220 new TB cases, the medical expenses were reduced by 50.56 million yuan and social and economic losses were recovered by 15.4 billion yuan. Conclusion During the 10 years of implementing the plan in Fujian Province, remarkable progress has been made in tuberculosis prevention and control.