汕头市流动人口肺结核病防治项目实施效果分析

目的了解汕头市全球基金流动人口结核病防治项目实施一年的防治效果;探讨汕头市流动人口肺结核病控制模式,为今后其他地区流动人口肺结核病防治工作提供参考。方法汕头市于2011年10月开始在汕头市区和潮南区两个区实施全球基金流动人口结核病防治项目,具体实施的方案是对管辖区内发现的流动人口活动性肺结核病人进行治疗管理：本项目为所有流动人口肺结核病人提供免费的规定抗结核药品,并设立了服药时的交通补助,30%经济困难病人提供一定的营养补助。分析比较2011年10月～2012年9月汕头市实施流动人口结核病防治项目的两个区与未实施项目的其他区的肺结核病人防治情况。结果实施流动人口结核病防治项目的两个区涂阳病人完成疗程率92.25%（119/129）,治愈率83.72%（108/129）,涂阴活动性肺结核病人完成疗程率88.15%（119/135）。未实施流动人口结核病防治项目的其他区涂阳病人完成疗程率74.73%（68/91）,治愈率69.23%（63/91）,涂阴活动性肺结核病人完成疗程率47.06%（24/51）。结论汕头市实施项目的流动人口肺结核病人完成疗程率和治愈率均较未实施项目的其他区有显著提高;新登记流动人口肺结核病人数较前年同期增加81.25%（182/224）,该项目实施一年己初显成效。应加大宣传力度,尽早把该流动人口结核病防治项目的实施推广到其他区。

ANALYSIS OF THE PREVENTION AND TREATMENT OF TUBERCULOSIS PROJECT IN FLOATING POPULATION IN SHANTOU

Objective To evaluate the effect of the Global Fund Prevention and Treatment Project of Tuber- culosis for the Floating Population in Shantou implemented in the previous year. To study the tuberculosis control pat- tern for the floating population in Shantou and to provide reference for prevention and treatment of tuberculosis in float- ing population in other districts. Methods We started the Global Fund Prevention and Treatment Project of Tubercu- losis for floating population in downtown and Chaonan District of Shantou city since Oct 2011. We provided free anti - tuberculosis drugs and transportation subsidy for the patients with active tuberculosis in floating population. Thirty percent of the patients in the project who had financial difficulty were offered nutrition subsidy. We analyzed and com- pared the effect of the project in these two districts with that out of the project in other districts. Results 92.25% （119/129）of the patients in the project who were sputum positive finished the treatment period and 83.72% （108/ 129） of them recovered. 74.73% （68/91） out of the project who were sputum positive finished the treatment period and 69.23% （63/91） of them recovered. 88.15% （119/135 ）of the patients with active tuberculosis in the project who were sputum negative finished the treatment period and 47.06% （24/51） of the patients with active tuberculosis out of the project who were sputum negative finished the treatment period. Conclusion The project enhances the rates of the tuberculosis patients who finished the treatment period and recovered in floating population. The registered number of tuberculosis in floating population is enhanced by 81.25% （182/224）compared with two years ago. It is sensible to promote the Prevention and Treatment Project of Tuberculosis for the Floating Population to other districts.