宾阳县2002～2009年肺结核病防治效果分析

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。

Analysis on the Effect of TB Prevention and Treatment in Binyang County from 2002 to 2009

Objective To evaluate the effect of TB prevention and treatment from 2002 to 2009 in Binyang country and to provide technique and policy support for sustaining development of TB control.Methods Analyze of the related data about tuberculosis control work in the past 8 years according to the report forms of statistical monitoring.Results Governments strengthen TB control efforts Gradually DOTS coverage rate was 100%.The whole country comprehensively strengthen TB control measures.The case-detection rate and cure rate of new sputum smear positive TB patients increased significantly.In the 8 years,19537 cases with suspicious symptoms had seen the doctor and the visiting rate was 2.44‰.The sputum smear examination rate and sputum smear-positive rate were 42.40% and 24.68% respectively.5668 cases were registered as active pulmonary tuberculosis,among them 1757 cases were new smear positive tuberculosis.and the new smear positive registration rate was 21.91 /100000.Since 2004,the new smear-positive detection rate was over 70% and the new smear positive cure rate reached 88.81%.Conclusion Although the level of TB control work have improved detection rate and the level of management and treatment constantly from 2002 to 2009,but there were still some existing shortcomings,including fund input,consultation rate of TB suspects,sputum examination rate and so on.The work of TB control needs to be improved.we should improve work quality mainly through the following approaches： administrative intervention,human resources construction,technology and management,funds guarantee.