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目的分析贵州省结核病防治规划(2001-2010年)实施效果,并探讨今后结核病防治工作的可持续发展。方法通过收集贵州省结核病防治工作各类报表和规划评估资料,分析我省规划实施效果。结果政府投入经费逐年递增,从2001年的45.15万元增加到2010年的1 830.69万元,翻了40.5倍。2010年全省各级各类设备台件数是2001年的9.5倍。各级结核病防治机构逐步建立健全,县级人员数2005年较2001年提高了237.6%(461/194)。2002-2010年全省结核病防治机构共登记治疗肺结核患者295 519人,传染性肺结核患者123 198人。复治涂阳占涂阳患者的比例在2002-2010年间呈下降的趋势。2002-2010年结核病防治机构登记治疗的123 409例涂阳患者治愈106 102例,治愈率为85.97%。经趋势卡方检验(χ2=1 373.377,P<0.001),表明涂阳患者疗效逐年转好。通过《规划》的实施全省2002-2010年共减少因肺结核病而死亡的人数达61 496人,使746 505的健康人群避免了不必要的感染,从而避免产生新的肺结核患者74 650人,减少医疗机构医疗费用支出达5 085.56万元,挽回的社会经济效益达60亿元。结论贵州省结核病防治规划任务指标如期完成,达到高发现率、高治愈率的目的,防治效果显著。
Objective To analyze the implementation effect of tuberculosis prevention and control plan (2001-2010) in Guizhou Province and to explore the sustainable development of tuberculosis prevention and control work in the future. Methods By collecting all kinds of reports and planning evaluation data of tuberculosis prevention and control work in Guizhou Province, the effect of planning and implementation in our province was analyzed. Results The government investment increased year by year, from 451,500 yuan in 2001 to 18,306,900 yuan in 2010, up 40.5 times. In 2010, the number of all kinds of equipment at all levels in the province was 9.5 times that of 2001. TB prevention and control institutions at all levels have been gradually established and improved. The number of county-level staff increased by 237.6% (461/194) in 2005 over 2001. Between 2002 and 2010, TB prevention and treatment agencies across the province registered a total of 295,519 people for treating tuberculosis and 123,198 people for infectious tuberculosis. The proportion of smear-positive smear-positive patients decreased from 2002 to 2010. In the period from 2002 to 2010, 123,409 smear-positive patients registered for TB treatment were treated with 106,102 patients, the cure rate was 85.97%. The trend of chi-square test (χ2 = 1 373.377, P <0.001), indicating that the efficacy of smear-positive patients get better year by year. Through the implementation of the “Plan”, a total of 61,496 deaths from tuberculosis were completed in the province from 2002 to 2010, avoiding 74,650 healthy people from unnecessary infections and avoiding the generation of 74,650 new tuberculosis patients, Reduce the medical expenses of medical institutions reached 58.5856 million yuan, the social and economic benefits of up to 6 billion yuan. Conclusion The targets of tuberculosis prevention and treatment planning in Guizhou Province have been completed on schedule, reaching the goal of high detection rate and high cure rate, and the prevention and treatment effect is remarkable.