佛山市结核病控制项目1O年效果分析(1992-2001年)

目的　分析广东省佛山市结核病控制项目10年的效果以及取得成效的原因。方法 收集、分析1992-2001年佛山市实施世界银行贷款结核病控制项目资料。结果 1992-2001年共接诊可疑肺结核症状者40470例,发现活动性肺结核病人8652例。其中涂阳肺结核病人5005例,新发涂阳4320例,复治涂阳病人685例;新发涂阳登记率由1993年的7.47/10万上升至2001年的30.30/10万;初治涂阳治愈率由1993年的73.5%上升至2001年的99.4%;复治涂阳治愈率由1993年的60.8%上升至2001年的91.4%。结论 10年来,佛山市的结核病控制项目实行免费检查治疗、归口管理和执行DOTS策略,实现了“高发现率”和“高治愈率”的目标,结核病控制水平整体提高,为实施新项目提供宝贵的经验,促进佛山市结核病控制工作的可持续发展。

Analysis on the effect of the tuberculosis control project in Feshan City(1992-2001)

Objective To analyze the effect of the TB control project in Feshan City.Methods Collecting and analyzing the data of the tuberculosis control project loaned by the world bank in Feshan City from 1992 to 2001.Results there were 40470 suspects examined and 8652 cases with active tuberculosis discovered. In the cases, there were 5005 pulmonary tuberculosis with smear-positive, 4320 new cases with smear-positive, and 685 retreatment cases with smear-positive. The notification rate of new smear-positive cases is 7.47/100000 in 1993, up to 30.30/100000 in 2001. The cured rate of initial treatment cases rises to 99.4% from 73.5% from 1993 to 2001. And the retreatment smear-positive cases rises to 91.4% from 60.8% from 1993 to 2001.Conclusion In the decade, The TB control project in Feshan City has achieved the target of “high rate of discovery” and “high rate of successful treatment” and has improved. It is because that free examination was provided the case-management was converged and the strategy of DOTS was implemented. It is a good experience for new project implementing in Guangdong province. Develop the work of TB control in Feshan City.