摘要
目的分析结核病控制项目实施效果，评估结核病流行形势和防治能力。方法比较结核病控制项目实施前后几年结核病防治能力和结核病流行特征变化。结果结核病报告发病率上升，传染性肺结核（涂阳）发病率上升趋势明显。结防机构传染性肺结核病人发现能力显著提高，结核病防治基础条件大为改善，医疗机构向结防机构转诊肺结核病人的比例逐年提高。除报告发病率上升外，项目实施还造成结核病其它流行特征的变化，男女性别比提高到2．93：1，在结核病构成比中56a以上老年人上升，占51．2％，职业分布中农民比例上升到57．7％，初复治涂阳肺结核比上升为6．6：1。初治涂阳肺结核治愈率达到67．5％。结论结核病控制项目的实施促进了结核病防治工作。继续加强项目管理，落实DOTS策略，加强归口管理，加强结防机构与医疗机构的合作，是实现结核病控制目标的关键。
Objective To analyze the implementation effect of tuberculosis control program and evaluate the epidemic situation and control capacity of tuberculosis. Method Compare the TB control capacity and epidemic characteristic nowadays on the truth of these several years before TB control program carded out. Results The report incidence rate of tuberculosis increases, especially the incidence rate of infectant tuberculosis. The discovery capacity about infectant tuberculosis of TB prevention institution enhances observably, so does the basic condition of tuberculosis control. At the same time, the proportion of tuberculosis patients transferring from medical institution to TB control institution increases obviously year by year. The project implementation changes other epidemic characteristics of tuberculosis besides the report incidence rate of tuberculosis rises. For example, the sex ratio has increased to 2.93：1, the constituent ratio of people above 56 years old has risen to 51.2%, the proportion of farmer has increased to 57.7% in occupation distributing, the ratio between initial treatment smear positive patients and re-treatment ones has risen to 6.6：1, the cure rate of initial treatment smear positive patients has reached 67.5%. Conclusion The implementation of TB control program has enhanced the capacity of tuberculosis control and prevention. We should reinforce management about the TB control program sequentially, carry out DOTS strategy, intensify the referring system of pulmonary, strengthen cooperation between TB prevention institution and medical institution. The above measure is the key to realize the goal of tuberculosis control.
出处
《世界感染杂志》
2007年第4期292-295,共4页
World Journal of Infection
关键词
结核病
控制
项目
Tuberculosis
Control
Program
