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目的:通过评价“世行贷款卫生Ⅷ项目”结核病干预的实施效果,探讨某省农村的结核病管理方法。方法:利用各项目县结核病管理信息系统报告的结核病人登记及治疗效果等资料,分析其关键指标。结果:从2000年4月至2006年底,7个干预县累计接诊可疑肺结核病例9 800例,发现涂阳肺结核病人2 109例,其中新发涂阳肺结核病人1 670例。新发涂阳登记率由2000年的5.53/10万人口升高到38.42/10万人口,治愈率达95.83%。结论:结核病干预项目采用WHO推荐的现代结核病控制策略(DOTS策略),适合山西省农村结核病防治,同时也为广大农村的结核病控制工作提供了宝贵的可行性经验。
OBJECTIVE: To evaluate the tuberculosis management in rural areas in a certain province by evaluating the implementation effect of tuberculosis intervention in World Bank-financed Health Ⅷ Project. Methods: Based on the data of tuberculosis patients registration and treatment reported by each project county TB management information system, the key indicators were analyzed. Results: From April 2000 to the end of 2006, a total of 9 800 cases of suspicious cases of tuberculosis were admitted in 7 intervention counties. A total of 2 109 cases of smear positive pulmonary tuberculosis were found, of which 1 670 cases were new smear positive pulmonary tuberculosis cases. The new registration rate of smear increased from 5.53 / 100000 in 2000 to 38.42 / 100000 with a cure rate of 95.83%. Conclusion: The TB intervention project adopts the WHO Strategy for DOTS (DOTS) recommended by the WHO and is suitable for the prevention and treatment of tuberculosis in rural areas of Shanxi Province. It also provides valuable and feasible experience for tuberculosis control in rural areas.