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目的探讨环江毛南族自治县使用世界银行贷款和全球基金控制结核病4年来防控措施,评价防治效果。方法收集2004～2007年环江县结核病月报表、季报表和年度报表资料进行统计分析。结果2004～2007年环江毛南族自治县共检查可疑肺结核症状者2604例,发现活动性肺结核病人1263例,其中涂阳肺结核病人502例,新涂阳肺结核病人462例。涂阳肺结核病中因症就诊的比例逐年下降,从2004年的91.67%下降到2007年的51.75%;由综合医院、乡镇卫生院和村卫生所转诊的病人逐年增加,从2004年的8.33%上升到2007年的48.25%。新涂阳肺结核病人治愈率从2004年的85.71%上升到2007年的94.39%。新涂阳肺结核病人男女性别比大约为2.4:1;15～55岁年龄段新涂阳肺结核病人占总病人数的比例为84.2%。结论通过4年实施世行贷款和全球基金结核病控制项目,环江毛南族自治县肺结核病防治效果显著,肺结核病人治愈率达到94.39%,超过WHO2005年目标要求。
Objective To explore the prevention and control measures for the prevention and control of tuberculosis by using the World Bank Loan and the Global Fund to Control Tuberculosis in the Central Maonan Autonomous County in the past four years. Methods The monthly, annual and annual reports of tuberculosis in Huanjiang County from 2004 to 2007 were collected for statistical analysis. Results From 2004 to 2007, there were 2,604 cases of suspicious pulmonary tuberculosis in Huanjiang Maonan Autonomous County. There were 1263 cases of active pulmonary tuberculosis, of which 502 cases were smear positive pulmonary tuberculosis and 462 cases were smear positive pulmonary tuberculosis. The proportion of cases with smear-positive pulmonary tuberculosis due to illness decreased year by year, from 91.67% in 2004 to 51.75% in 2007; the number of patients referred by general hospitals, township hospitals and village clinics increased year by year from 8.33 in 2004 % Rose to 48.25% in 2007. The cure rate of new smear positive tuberculosis patients rose from 85.71% in 2004 to 94.39% in 2007. The sex ratio of new smear-positive pulmonary tuberculosis patients was about 2.4: 1. The proportion of new smear-positive pulmonary tuberculosis patients in the age group of 15-55 years was 84.2%. Conclusion Through 4 years’ implementation of World Bank Loan and Global Fund TB Control Program, the prevention and treatment of tuberculosis in Huanjiang Maonan Autonomous County is remarkable. The cure rate of tuberculosis patients reaches 94.39%, exceeding the WHO 2005 requirments.