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目的了解甘肃省结核病防治现状。方法设计省、市、县三级调查表,全省省、市、县三级共101个疾病预防控制中心分别利用2001年至2009年结核病信息监测资料进行回顾性流行病学调查。Epidata下建库,Excel及SPSS17.0进行数据统计分析。结果至2009年底,全省以县为单位直接面视下的短程化疗(directly observed treatment short-course,DOTS)覆盖率达到100%,DOTS质量不断提高。2001—2009年全省各级共发现新涂阳患者70 804例,完成了任务数的93.49%(70 804/75 738)。至2009年底,新涂阳患者治愈率91.68%(56 592/61 731),复治涂阳患者治愈率87.33%(9983/11 431),传染性肺结核患者治疗成功率91.63%(67 039/73 162)。2005—2009年,全省肺结核患者和疑似患者转诊率65.08%(61 511/94 510),转诊到位率48.35%(29 741/61 511),追踪率77.35%(50 100/64 769),追踪到位率58.16%(29 139/50 100),总体到位率62.30%(58 880/94 510)。村医结核病防治技术培训率90.07%(17 922/19 898)。结论甘肃省各级结核病防治建立了政府领导、多部门合作和全社会参与的结核病防治可持续发展机制。各级防治人员数量、学历和职称水平、实验室建设及经费投入逐年增加或提高。
Objective To understand the current status of tuberculosis prevention and treatment in Gansu Province. Methods A questionnaire was designed at provincial, city and county levels. 101 CDC centers at provincial, city and county levels of China conducted retrospective epidemiological investigation using TB surveillance data from 2001 to 2009 respectively. Epidata under the database, Excel and SPSS17.0 statistical analysis. Results By the end of 2009, the direct observation and treatment short-course (DOTS) coverage of the province directly at the county level reached 100%, and the quality of DOTS was continuously improved. A total of 70 804 new smear positive patients were found across the province from 2001 to 2009, completing 93.49% (70 804/75 738) of the number of tasks. By the end of 2009, the cure rate of new smear positive patients was 91.68% (56 592/61 731), that of retreated smear positive patients was 87.33% (9983/11 431), that of infectious tuberculosis patients was 91.63% (67 039/73 162). In 2005-2009, the referral rate of TB patients and suspected patients in the province was 65.08% (61 511/94 510), the referral rate was 48.35% (29 741/61 511) and the follow-up rate was 77.35% (50 100/64 769) , Tracking the spot rate of 58.16% (29 139/50 100), the overall rate of 62.30% (58 880/94 510). The village medical TB control training rate was 90.07% (17 922/19 898). Conclusion TB prevention and treatment at all levels in Gansu Province has established a sustainable development mechanism for tuberculosis prevention and control with government leadership, multisectoral cooperation and participation of the whole society. The number of prevention and control personnel at all levels, academic and professional titles, laboratory construction and funding increased year by year or increased.