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目的分析陕西省世界银行贷款/英国赠款结核病控制项目实施6年的效果,为我省结核病防治工作可持续发展提供可参考。方法收集2002—2007年陕西省107个区(县)项目季报表,对全省DOTS策略覆盖率、肺结核可疑症状者就诊率、肺结核患者登记率和治愈率等主要指标进行统计分析。结果全省2002年启动DOTS策略,2005年以县为单位DOTS策略覆盖率达到了100%。2002—2007年,全省接诊肺结核可疑症状者386281例,可疑症状者就诊率逐年增高;发现涂阳肺结核患者61293例,其中新涂阳肺结核患者45123例,新涂阳肺结核登记率平均为20.45/10万,2004—2007年,新涂阳肺结核发现率平均为87.72%。初治涂阳肺结核治愈率平均为90.6%,复治涂阳患者治愈率平均为81.7%。结论该项目促进了DOTS策略的快速扩展,提高了肺结核患者的发现率和治愈率,产生了明显的社会效益和经济效益。
Objective To analyze the effect of Shaanxi Province World Bank Loan / Grant Grants Tuberculosis Control Project implemented for six years so as to provide reference for the sustainable development of tuberculosis prevention and control in our province. Methods A total of 107 district (county) project quarterly reports in Shaanxi Province from 2002 to 2007 were collected to analyze the main indicators such as coverage rate of DOTS strategy, visiting rate of suspicious symptoms of tuberculosis patients, registration rate of pulmonary tuberculosis patients and cure rate. Results The province started the DOTS strategy in 2002, and in 2005, the coverage rate of DOTS by county reached 100%. From 2002 to 2007, 386,281 cases of suspected TB patients were admitted to the province, and the number of suspicious symptoms increased year by year. Totally 61293 cases of smear positive pulmonary tuberculosis were found, including 45,123 cases of new smear positive pulmonary tuberculosis and 20.45 cases of new smear positive pulmonary tuberculosis. / 100000, 2004-2007, the detection rate of new smear-positive pulmonary tuberculosis was 87.72%. The average cure rate of smear-positive pulmonary tuberculosis was 90.6%, and the cure rate of retreatment smear-positive patients was 81.7% on average. Conclusion The project has promoted the rapid expansion of DOTS strategy and improved the detection rate and cure rate of patients with pulmonary tuberculosis, resulting in obvious social and economic benefits.