2001-2009年常德市结核病控制效果分析

目的分析常德市结核病控制项目实施9年的效果,为结核病防治工作可持续发展提供依据。方法收集2001-2009年湖南省常德市中国疾病预防控制信息系统资料、13个县(市、区)中国结核病防治规划登记资料、相关纸质文书、报表等资料。按照《中国结核病防治规划实施工作指南》和其它相关要求进行统计分析。结果常德市2002年启动现代结核病控制策略,2004年以县为单位DOTS策略覆盖率达到100%。2001-2009年全市共接诊结核病可疑症状者123 538例,可疑者年就诊率从2001年的113.74/10万上升到2009年的324.61/10万;发现涂阳肺结核患者25 758例,其中新涂阳患者21 800例,新涂阳肺结核登记率平均为40.07/10万,新涂阳肺结核发现率平均为65.63%;初治涂阳平均治愈率为88.8%,复治涂阳平均治愈率为82.0%。结论实施DOTS策略,可提高肺结核患者的发现率和治愈率,减少结核病的传播,产生明显的社会防治效益。

Analysis on Effectiveness of Tuberculosis Control Program in Changde City from 2001 to 2009

Objective To evaluate the effectiveness of Tuberculosis Control Program in Changde from 2001 to 2009,and to provide the evidence for the sustainable development of TB control and treatment. Methods The data collected from the network reports of Changde City from 2001 to 2009 on China Disease Prevention and Control Information System and the data from registration forms(including monthly,quarterly,and annual network reports) of China Tuberculosis Control Program in 13 counties(cities,districts) were analyzed according to the requirements of "China Tuberculosis Control Program Implementation Guide". Results The modern tuberculosis control strategies(DOTS strategies) were launched in Changde in 2002,and the coverage rate of county-level DOTS strategies in 2004 was 100%.123,538 suspected TB cases were admitted in Changde during the period of 2001～2009.The registration rate of TB suspects increased to 324.61/100,000 in 2009 from 113.74/100,000 in 2001.25,758 smear positive pulmonary TB cases were detected,among them,21,800 cases were new smear positive,the average registration rate of new smear positive patients was 40.07/100,000 and the average discovery rate of new smear positive patients was 65.63%.The average cure rates of initial treated and retreated smear positive patients were 88.8% and 82.0%,respectively. Conclusions With the enforcement of Tuberculosis Control Program,the discovery rate and the cure rate of pulmonary tuberculosis patients were increased,the infection sources and the cost of the patients were decreased significantly.