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目的分析2008-2012年青海省结核病防治效果,找出工作过程中存在的问题并提出改进意见,为今后开展执行结核病防治工作提供借鉴。方法对2008-2012年青海省各地结核病防治经费投入及使用情况报表和《全国结核病管理信息系统》中的青海省结核病流行病学数据进行收集、分析。结果全省现代结核病控制策略(DOTS策略)以县为单位覆盖率保持在100%;79 340例结核病可疑症状者给与了免费检查;共发现活动性肺结核患者18 129例,其中涂阳12 790例、涂阴5 339例;新发涂阳治愈率达到90%以上;减少因结核病死亡病例3 433例,避免了68428人感染结核菌,避免了6 843例新发结核病病例;减少医疗费用14 096 580元;挽回社会经济价值12.98亿元人民币;成本效用比为654.85,效益成本比为24.61;国内经费投入逐年增加,青海省各级结核病防治经费投入得到充实,人均超过1.9元。结论青海省结核病防治效果显著,在发现和治愈活动性肺结核患者的同时取得良好的社会效果和社会效益,推动了经济建设和社会发展,为青海省结核病防治工作可持续发展提供了成功模式。
Objective To analyze the effect of tuberculosis prevention and control in Qinghai Province from 2008 to 2012, identify the problems existing in the work process and provide suggestions for improvement so as to provide reference for the implementation of tuberculosis prevention and control work in the future. Methods To collect and analyze the TB funding in Qinghai Province from 2008 to 2012, and the epidemiological data of tuberculosis in Qinghai Province in the National Tuberculosis Management Information System. Results The coverage rate of modern TB control strategy in the province (DOTS strategy) remained at 100% in the county; 79,340 cases of suspicious symptoms of tuberculosis were given free tests; 18,129 cases of active pulmonary tuberculosis were found, of which 12,790 were smear positive Cases, smear 5 339 cases; new smear cure rate of 90% or more; to reduce the number of deaths due to tuberculosis 3 433 cases, to avoid 68,428 people infected with tuberculosis, to avoid the 6 843 cases of new tuberculosis; reduce medical costs 14 The cost-effectiveness ratio was 654.85, and the benefit-cost ratio was 24.61. The domestic funding increased year by year. The funds for prevention and treatment of tuberculosis at all levels in Qinghai Province have been substantially increased, with the per capita income exceeding 1.9 yuan. Conclusion The prevention and treatment of tuberculosis in Qinghai Province is remarkable. It has achieved good social and social benefits while founding and curing active pulmonary tuberculosis patients, promoted economic construction and social development, and provided a successful model for the sustainable development of tuberculosis prevention and control work in Qinghai Province.