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[目的]分析地震灾后极重灾县结核病防治工作受到的影响和应对措施。[方法]以结核病防治工作报表、灾后报表资料和现场资料为基础,对地震灾后对结核病防治工作的影响、对策及效果进行描述性分析。[结果]4个重灾县结防机构门诊用房均不能使用,震后主要设备基本能使用的仅占震前的31.25%,肺结核病人丢失率达到7.62%。针对存在的问题,绵阳市积极采取应对措施,各结防机构尽快恢复接诊和追踪工作,病人恢复治疗人数占灾后应在治人数的92.10%;非结防机构网络报告病人落实追踪率为86.23%,追踪到位率为71.43%。对集中安置点灾民和学生的肺结核病症状筛查,共筛查39859人,发现有肺结核可疑症状者272人。[结论]绵阳市在地震中受灾非常严重,同时灾民集中安置又增加了肺结核传播流行的危险性。通过积极采取应对措施,结防工作得到迅速恢复,灾后没有出现结核病暴发疫情。但是,由于灾害发生突然,缺乏应对经验,结果与预期还有一定差距,一些措施还有待进一步探讨。
[Objective] To analyze the impact and countermeasures of TB control in the severely affected areas after the earthquake. [Method] Based on the work report of tuberculosis prevention and treatment, the data of post-disaster report and the field data, the destructive effects on the prevention and treatment of tuberculosis after the earthquake, the countermeasure and the effect were described descriptively. [Results] Outpatient rooms for the four disaster-hit areas were not allowed to use. Only 31.25% of the major equipment used before the earthquake and 7.62% of tuberculosis patients lost. In response to the existing problems, Mianyang City actively took countermeasures, and all the prevention and treatment agencies resumed admissions and follow-up as soon as possible. The number of patients recovering from treatment after the disaster accounted for 92.10% of the total number of patients under treatment. The non-TB prevention and cure institutions reported a follow-up rate of 86.23 %, Tracking the availability rate of 71.43%. A total of 39,859 people were screened for the symptoms of tuberculosis among the victims and students in the resettlement center, and 272 people were found to have suspicious symptoms of tuberculosis. [Conclusion] The disaster in Mianyang was very serious during the earthquake. At the same time, the concentrated resettlement of disaster victims increased the risk of spread of tuberculosis. Through active response measures, the work of preventing and fighting the epidemic was promptly resumed and there was no outbreak of tuberculosis after the disaster. However, due to the sudden occurrence of disasters and the lack of response experience, there is still some gap between the expected result and some measures to be further explored.