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目的评价西藏自治区实施结核病控制项目13年效果。方法根据1994～2006年西藏自治区结核病控制项目季报、月报及相关资料进行分析和评价。结果实施结核病控制项目后,传染源的发现和治愈率逐年提高,共接诊可疑肺结核症状者40 548例,发现活动性肺结核病人35 664例,其中涂阳肺结核病人12 743例。新发涂阳登记率从1994年的4.91/10万逐年上升到57.00/10万,初治涂阳治愈率由33.33%上升到82.56%,复治涂阳病人治愈率从21.74%上升到56.30%。初、复治涂阳病人比例为1:0.20。结论西藏自治区结核病控制项目取得了较大的成效,各项指标均有较大幅度提高。但还未达到“高发现、高治愈率”的目标,结核病疫情仍很严重,须进一步加强结核病控制工作。
Objective To evaluate the 13-year effect of TB control projects in the Tibet Autonomous Region. Methods According to the quarterly bulletin, monthly bulletin and relevant data of tuberculosis control project of Tibet Autonomous Region from 1994 to 2006, the data were analyzed and evaluated. Results After the TB control project was implemented, the source of infection was found and the cure rate increased year by year. A total of 40 548 cases of suspected tuberculosis were admitted. 35 664 cases of active tuberculosis were found, of which 12 743 cases were smear positive pulmonary tuberculosis. The new registration rate of smear increased from 4.91 / 100 000 in 1994 to 57.00 / 100 000 in 1994. The cure rate of smear-positive newborn increased from 33.33% to 82.56%, the cure rate of smear-positive patients increased from 21.74% to 56.30% . Early, retreatment smear positive patients ratio of 1: 0.20. Conclusion The Tibet Autonomous Region’s tuberculosis control project has achieved great success with a marked increase in various indicators. However, the target of “high discovery and high cure rate” has not yet been reached, and the epidemic of tuberculosis is still very serious. Tuberculosis control work needs to be further strengthened.