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目的分析2003-2007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2003-2007年结核病控制项目报表及相关资料进行整理和流行病学分析。结果 2003-2007年共接诊可疑患者62884例,平均就诊率为279.78/10万,由2003年的220.42/10万上升至2007年的352.09/10万;共发现涂阳患者11160例,其中初治涂阳10047例,复治涂阳患者1113例,涂阳患者登记率平均为49.65/10万;共治愈涂阳患者10263例,涂阳患者治愈率平均为91.96%。转诊占涂阳患者的百分率逐年上升,各年度间比较差异有统计学意义(χ2=279.8,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,但对肺结核病患者的耐药性问题必须引起高度重视。
Objective To analyze the implementation of the World Bank loan / grant grants TB control program in Chenzhou City from 2003 to 2007, and provide a scientific basis for further TB control work in this city. Methods The report of tuberculosis control project in 2003-2007 in the city was collected and the epidemiological analysis was carried out. Results A total of 62,884 suspicious patients were recruited from 2003 to 2007, with an average visit rate of 279.78 / 100 000, up from 220.42 / 100,000 in 2003 to 352.09 / 100 000 in 2007; 11,160 smear positive cases were found, of which, 10047 cases of smear positive control, 1113 cases of smear positive smear, the average registration rate of smear positive patients was 49.65 / 100000; a total of 10263 cases of smear positive were cured, the average cure rate of smear positive patients was 91.96%. The percentage of referral to smear positive patients increased year by year, with significant difference between years (χ2 = 279.8, P <0.01). Conclusion The implementation of WB loan / grant grants TB control project in Chenzhou City has achieved 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 pay close attention.