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目的探讨第五轮中国全球基金流动人口结核病防治项目在提高天津市项目地区流动人口肺结核病人发现中的作用,为实现流动人口结核病控制“高发现率”“高治愈率”的策略目标提供依据。方法收集、比较项目实施前后项目地区流动人口肺结核病人发现工作情况。结果虽然项目实施后流动人口肺结核病人发现仍以综合医院转诊为主要途径,但因症就诊病人比例已呈增加态势,由项目前的33.4%增至39.6%。综合医院报告可疑肺结核病人数较项目前增加一半以上,病人总体到位率由项目前82.7%上升至91.0%,发现肺结核病人数是项目前的1.88倍。结论第五轮中国全球基金流动人口结核病防治项目多项措施已显现成效,对流动人口肺结核病人发现起到一定的推动作用。
Objective To explore the role of the fifth round of Global Fund Floating Population Tuberculosis Program in improving the detection of pulmonary tuberculosis among floating population in the project area of Tianjin City. In order to realize the strategy of “high detection rate” and “high cure rate” of floating population in tuberculosis control Objectives provide the basis. Methods Collecting and comparing the findings of tuberculosis cases among floating population in the project area before and after the project implementation. Results Although the main reason for TB referral to general hospitals after the implementation of the project was implemented, the proportion of patients experiencing illness has been on the rise, from 33.4% before the project to 39.6%. The number of suspicious TB cases reported by general hospitals increased by more than 50% over the previous period. The overall rate of arrival of patients in the general hospitals increased from 82.7% to 91.0% and the number of TB patients was 1.88 times that of the previous item. Conclusion The fifth round of China Global Fund floating tuberculosis prevention and control project has brought about a number of measures that have shown some positive effects on the detection of pulmonary tuberculosis among floating population.