南海市实施结核病控制项目效果分析

目的　评价南海市实施世界银行贷款结核病控制项目的成效。方法 因症就诊胸透筛选、痰检确诊病人,按统一化疗方案治疗,实行全程督导管理。结果 10年间共接诊可疑肺结核症状者19569人,可疑者检查率平均为0.2%,发现活动性肺结核4286例,其中涂阳2558例,涂阳病人占活动性病人59.7%,涂阳登记率从14.07/10万提高到35.66/10万;初复治涂阳比例1:0.14,初治涂阳治愈率94.3%;复治涂阳治愈率82.2%。结论 10年来结核病控制水平整体提高,是实施DOTS现代结核病控制策略的结果。

Analysis for the effect of TB control project implementing in Nanhai City of Guangdong province

Objective To evaluate the outcome of the TB control project loaned by the World Bank in Nanhai city.Methods The patients who consulted clinic for symptom were screened by the way of X-ray examination. TB patients were confirmed by sputum examination and treated using unified chemo-therapy regimen. And the management of DOTS were implemented.Results During the decade, 19569 cases of TB suspected patient were screened, and the detected rate was 0.2%. There were 4286 cases of active TB confirmed. Among them, 2558 cases are sputum smear positive and account for 59.7% of the active TB. The notification rate of smear positive TB increased from 14.07/100,000 to 35.66/100,000. The ratio of initial treatment cases with smear positive and re-treatment is 1 to 0.14. The cured rate of the initial treatment cases is 94.3% and the re-treatment cases is 82.2%. The benefit of case-finding and treatment management reached 3 times than before.Conclusion In the past 10 years, the level for TB control has been raised completely.