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目的评价宾阳县2002～2009年结核病防治工作实施效果,为下一步结核病防治提供技术政策依据。方法利用结核病统计监测报表,对8年期间结核病防治工作指标进行分析。结果各级政府不断加强结核病控制工作,DOST覆盖率达100%,全县加强了结核病综合防治措施,传染源发现和治疗效果逐年提高,8年期间,全县有19 537例肺结核可疑症状者就诊,就诊率为2.44‰;痰涂片检查率和阳性检出率分别为42.40%和24.68%;登记活动性肺结核5 668例,其中新涂阳肺结核1 757例,新涂阳登记率为21.91/10万,2004年以后新涂阳患者发现率达到70%以上;初治涂阳肺结核治愈率为88.81%。结论宾阳县2002～2009年肺结核病患者的发现与治疗管理水平不断提高,取得了显著成效。但在地方经费投入方面尚有差距,另外,可疑就诊率未达要求,查痰率较低,防治工作质量有待进一步提高,应继续加强政府承诺及行动、加强机构及人力资源能力建设、强化技术管理、引进项目支撑、落实经费保障,促进结核病防治工作的可持续发展。
Objective To evaluate the effect of tuberculosis control in Binyang County from 2002 to 2009 and provide technical and policy basis for the prevention and treatment of tuberculosis in the next step. Methods The TB monitoring report was used to analyze the indicators of tuberculosis control over the past eight years. Results At all levels of government, TB control was continuously strengthened. The DOST coverage rate reached 100%. The county strengthened the comprehensive prevention and treatment measures for TB, and the sources of infection and treatment increased year by year. During the 8-year period, 19,537 suspects with tuberculosis were referred to the county , The visiting rate was 2.44 ‰; sputum smear examination rate and positive detection rate were 42.40% and 24.68%; 5 668 cases of active tuberculosis registration, of which 1 757 cases of new smear-positive pulmonary tuberculosis, the new registration rate of 21.91 / 100000, the new smear-positive patients after 2004 reached more than 70%; the first cure smear positive tuberculosis cure rate was 88.81%. Conclusion The detection and treatment management of pulmonary tuberculosis patients in Banyang Prefecture increased continuously from 2002 to 2009, and achieved remarkable results. However, there is still a gap in local funding. In addition, the number of suspicious visits is less than satisfactory, the sputum sampling rate is low, and the quality of prevention and treatment needs to be further improved. Government commitments and actions should continue to be strengthened, and institutional and human resources capacity-building strengthened, and technology strengthened Management, the introduction of project support, the implementation of financial protection, and promote the sustainable development of tuberculosis prevention and control work.