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报告世界银行贷款结核病控制项目。截止1995年9月底,县和人口的受益覆盖率分别达到了原设计的92.5%和95.4%。累计接诊可疑肺结核症状者2179684例,发现涂阳肺结核病人305596例,新发涂阳病人171304例。1995年涂阳登记率和新登记率分别为项目实施前的3倍和2倍。新发涂阳病人的平均治愈率达90.8%,三年来呈上升趋势,反映了管理水平的提高。项目中急待解决的问题是如何提高病人的发现登记率,作者建议将结核病从传染病管理办法中的丙类监测性疾病改为乙类传染病,以加强行政干预,促进结核病人的归口治疗管理。
Report World Bank Loan TB Control Project. By the end of September 1995, the coverage of beneficiaries of the counties and population reached 92.5% and 95.4% of the original design, respectively. A total of 2179684 cases of suspected tuberculosis were admitted, and 305596 smear positive pulmonary tuberculosis patients and 171304 newly smear positive patients were found. In 1995, the registration rate and the new registration rate of smear were 3 times and 2 times respectively before the implementation of the project. The new smear-positive patients achieved an average cure rate of 90.8%, showing an upward trend in three years, reflecting the improvement of management level. The urgent problem to be solved in the project is how to improve the patient’s registration rate. The author suggests that TB be changed from C surveillance diseases to B infectious diseases in order to strengthen administrative intervention and promote the centralized treatment of TB patients management.