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目的分析邗江区输入性恶性疟综合防控体系现状,评价其实施效果。方法依据《扬州市输入性恶性疟防治项目管理方案》,开展输入性恶性疟综合防控。统计2010-2012年劳务输出及回国发热人员疟原虫血检率、恶性疟报告病例中实验室确诊病例比例、恶性疟病例发病24 h内得到规范治疗的比例等,对邗江区输入性恶性疟综合防控体系进行综合分析评价。结果综合防控措施实施后,恶性疟病例从初诊到确诊24 h内确诊率达60.47%,初诊到确诊时间缩短为平均1.8 d,从发病到确诊时间缩短为平均3.7 d;健康教育覆盖率为100%,健康知识知晓率为95.56%,病人主动就医率、实验室确诊率、病例确诊后规范治疗率均为100%。结论邗江区输入性恶性疟防控体系实施成效显著。
Objective To analyze the current status of integrated falciparum malaria control and prevention system in Qijiang area and evaluate its implementation effect. Methods According to “Yangzhou input falciparum malaria prevention and control project management program” to carry out a comprehensive prevention and control of imported falciparum malaria. Statistical analysis was carried out on the rate of laboratory-confirmed cases of falciparum malaria parasite and the rate of return of laborers from 2010 to 2012, the proportion of cases diagnosed as falciparum malaria cases and the proportion of cases receiving standard treatment within 24 hours after onset of falciparum malaria cases. Prevention and control system for a comprehensive analysis and evaluation. Results After the implementation of comprehensive prevention and control measures, the diagnosis rate of falciparum malaria cases was 60.47% within 24 hours after initial diagnosis and diagnosis, and the time of initial diagnosis was shortened to 1.8 days on average. The time from onset to diagnosis was shortened to 3.7 days. The coverage of health education was 100%. The rate of awareness of health knowledge was 95.56%. The patient’s active medical attendance rate, the laboratory diagnosis rate, and the standard treatment rate after diagnosis were all 100%. Conclusions The implementation of imported falciparum malaria control system in Qijiang District has achieved remarkable results.