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目的评价1993-2008年江华县结核病控制项目实施效果。方法对江华县项目实施期间登记管理的肺结核病例资料进行统计分析。结果 16年来共发现并登记管理活动性肺结核病人4489例。其中涂阳病人2618例,新发涂阴病人1871例。可疑肺结核平均就诊率176.0/10万,新涂阳病人平均登记率31.5/10万;初治涂阳病人平均治愈率97.3%,复治涂阳病人平均治愈率86.9%,新发涂阴病人治疗成功率95.6%。结论现代结核病控制策略的实施,极大地促进并规范了江华县结核病防治工作,实现了结核病人高发现率和高治愈率的目标,取得了显著的社会效益和经济效益。但仍有不少问题存在,结核病控制工作有待进一步加强。
Objective To evaluate the implementation effect of TB control project in Jianghua County from 1993 to 2008. Methods The data of tuberculosis cases registered and managed during the project implementation in Jianghua County were statistically analyzed. Results A total of 4489 cases of active pulmonary tuberculosis were found and registered for 16 years. Among them, 2618 smear positive patients and 1871 newly smearing patients. The average visiting rate of suspicious tuberculosis was 176.0 / 100000, the average enrollment rate of new smear positive patients was 31.5 / 100000; the average cure rate of smear-positive patients was 97.3% and the average cure rate of retreatment smear positive patients was 86.9% 95.6% success rate. Conclusion The implementation of modern TB control strategies has greatly promoted and standardized TB prevention and treatment work in Jianghua County and has achieved the goal of high detection rate and high cure rate of TB patients with remarkable social and economic benefits. However, many problems still exist and TB control needs to be further strengthened.