中国北方某地区实施第一轮中国全球基金结核病控制项目效果分析

目的：评价第一轮中国全球基金结核病控制项目实施效果，为结核病的防治提供理论依据。方法：收集齐齐哈尔市2003年4月1日-2008年3月31日项目季报表及有关资料，对不住院直接督导下短程化疗（DOTS）策略覆盖率、新发涂阳肺结核患者发现率、涂阳患者治愈率进行分析，以评价第一轮中国全球基金结核病控制项目实施效果。结果：第一轮中国全球基金结核病控制项目执行期间，DOTS策略覆盖率达100%，齐齐哈尔市共接诊可疑肺结核病症状者67 452例，检出涂阳肺结核患者14 453例，其中新涂阳11 852例，年均涂阳新登记率为35.6/10万，新涂阳肺结核患者新发现率达70.1%，新发涂阳患者治愈率达到92.6%，复治涂阳患者治愈率达86.4%。结论：第一轮中国全球基金结核病控制项目提前达到了WHO和卫生部要求的2010年的目标。

Analysis on implementation results of World Bank Loaned TB Control Project in North Area of China

Objective To evaluate the implementation results of World Bank Loaned TB Control Project,and provide theoetical basis for prevention and treatment of TB.Methods The implementation quarterly reports from 1 April,2003 to 3 March,2008 were collected,and the DOTS cover rate,case detection rate of new smear positive cases and the cure rate of smear positive cases were analyzed,the effects of World Bank Loaned TB Control Project in Qiqihar were evaluated.Results The implementation was fully carried out in Qiqihar,and the DOTS cover rate was 100%. 67 452 suspects who with TB symptoms made clinical consultation to TB dispensaries. 14 453 smear positive cases had been detected.The notification rate of new smear positive cases was 35.6/100000.The case detection rate of new smear positive cases was 70.1%.The cure rate of new smear positive cases reached 92.6%,the cure rate of retreatment smear positive cases was 86.4%. Qiqihar implementation had reached WHO 2010 targets in advance.Conclusion The implementation of World Bank Loaned TB Control Project has reached the goals of the TB Control Project.