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目的为了解兰州市全球基金结核病控制项目组织实施以及项目目标达标情况,确保项目今后更好地实施,2005年7月中旬对该项目实施中期执行效果进行评估。方法采用现场调查,回顾、查阅卫生行政部门、疾控中心结防所(科)结核病月报、季报表等资料,并进行总结分析。结果从2003年4月～2005年3月,兰州市3个项目县共发现1050例涂阳肺结核病人,肺结核可疑症状者就诊率为418.1/10万,完成项目任务率为78%,新发涂阳登记率为75.6/10万,与全市卫Ⅴ项目时的17.2/10万相比有较大幅度的提高,全程督导化疗率达100%,化疗强化期2月末阴转率为94.6%,新发涂阳治愈率达96.0%。结论兰州市3县实施该项目以来,发现病人数大幅度增加,在有效控制传染源、提高结核病病人的治愈水平、控制结核病等方面取得明显效果,但也发现3个县的控制水平有一定的差异。因此,应继续加强贯彻执行《全国结核病防治规划(2001～2010)》,扩大全球基金结核病控制项目在兰州市的覆盖面,提高结核病防治工作的成效。
OBJECTIVE To understand the implementation of the Global Fund TB Control Project in Lanzhou City and the compliance of the project targets, and to ensure a better implementation of the project in the future, mid-term implementation of the project was evaluated in mid-July 2005. Methods By means of field investigation, review, consult the health administrative department, CDC (TB prevention and control center (section) tuberculosis monthly report, quarterly report and other data, and carry on the summary analysis. Results From April 2003 to March 2005, 1050 cases of smear positive pulmonary tuberculosis were found in 3 project counties in Lanzhou. The visiting rate of suspicious TB symptoms was 418.1 / 100,000 and the project task rate was 78% The enrollment rate of Yang was 75.6 / 100000, which was greatly improved compared with 17.2 / 100000 when the project of Wei Ⅴ in the whole city. The rate of chemotherapy and chemotherapy was 100%. The negative conversion rate of chemotherapy strengthening period at the end of February was 94.6% Hair smear cure rate of 96.0%. Conclusion Since the implementation of the project in 3 counties in Lanzhou, it has been found that the number of patients has increased substantially, and the effective control of sources of infection, improvement of the cure rate of tuberculosis patients and control of tuberculosis have been achieved. However, the control level in 3 counties is also found to be certain difference. Therefore, it is necessary to continue to strengthen the implementation of the “National TB Control Plan (2001 ~ 2010)”, expand the coverage of the Global Fund TB Control Project in Lanzhou and improve the effectiveness of tuberculosis prevention and control work.