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目的分析2002~2009年郴州市实施世行贷款/英国赠款结核病控制项目情况,为进一步做好该市结核病控制工作提供科学依据。方法对该市2002~2009年结核病控制项目报表及相关资料进行整理和统计分析。结果 2002~2009年共接诊可疑病人100 072例,平均就诊率为279.24/10万,由2002年的209.81/10万上升至2009年的315.93/10万;共发现涂阳病人17 073例,涂阳病人登记率平均为47.64/10万;2002~2008年共治愈涂阳病人13 665例,涂阳病人治愈率平均为91.22%。涂阳病人中转诊所占百分率逐年上升,各年度间比较差异有统计学意义(χ2=838.07,P<0.01)。结论郴州市实施世行贷款/英国赠款结核病控制项目实现了高发现率和高治愈率的目标,各项主要指标达到项目要求,但对肺结核病人的耐药性问题必须引起高度重视。
Objective To analyze the implementation of World Bank Loan / British Grants TB Control Project in Chenzhou from 2002 to 2009, and provide scientific evidence for further TB control in this city. Methods The report of tuberculosis control project from 2002 to 2009 in the city and its related data were collated and analyzed. Results A total of 100 072 suspicious patients were admitted between 2002 and 2009, with a mean visit rate of 279.24 / 100 000, rising from 209.81 / 100 000 in 2002 to 315.93 / 100 000 in 2009. A total of 17 073 smear positive patients were found, The average registration rate of smear-positive patients was 47.64 / 100 000. A total of 13 665 smear-positive patients were cured in 2002-2008. The average cure rate of smear-positive patients was 91.22%. The percentage of referral patients in smear-positive patients increased year by year with significant difference between years (χ2 = 838.07, P <0.01). Conclusion The implementation of WB loan / grant grants TB control project in Chenzhou City achieves the goal of high detection rate and high cure rate. The major indicators meet the project requirements, but the issue of drug resistance of TB patients must be given high priority.