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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。
Objective To analyze the effect of 9 years of tuberculosis control project in Changde City to provide the basis for the sustainable development of tuberculosis prevention and control work. Methods Data of China CDC Information System, Changde City, Hunan Province from 2001 to 2009, registration data of Chinese tuberculosis prevention and control programs in 13 counties (cities, districts), relevant paper documents and statements were collected. Follow the “Guidelines for the Implementation of TB Prevention and Control Program in China” and other related requirements for statistical analysis. Results Changde City in 2002 to start a modern control strategy for tuberculosis, in 2004 the county as a unit DOTS strategy coverage of 100%. In 2001-2009, a total of 123 538 cases of suspicious TB cases were admitted to the city. The annual treatment rate of suspicious persons increased from 113.74 / 100000 in 2001 to 324.61 / 100000 in 2009; 25 758 cases of smear positive pulmonary tuberculosis were found, of which, 21 800 smear-positive patients, the average smear-positive tuberculosis registration rate was 40.07 / 100 000, the new smear-positive pulmonary tuberculosis detection rate was 65.63%; the initial cure smear positive cure rate was 88.8%, the average cure rate of retreatment was 82.0%. Conclusion The implementation of DOTS strategy can improve the detection rate and cure rate of patients with pulmonary tuberculosis and reduce the spread of tuberculosis, resulting in obvious social prevention and treatment benefits.