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目的分析柳州市结核病控制项目实施7年中取得的成果及存在的问题,为项目顺利开展提供参考。方法收集并分析2003-2009年柳州市市区、6县结核病报表及对项目病人登记有关资料进行评价。结果 2003-2009年发现肺结核病人21 101例,新发涂阳登记率逐年上升,初治涂阳5 909例,治愈率91.00%;复治涂阳病人1 073例,治愈率79.40%。结论要以结核病控制项目为契机,进一步加强培训和督导工作,提高结防机构自身业务能力建设和规范技术管理,提高诊断、治疗及管理质量,进一步提高治愈率。通过综合医疗机构与结防机构之间的合作,加强肺结核病人及疑似肺结核病人的报告,转诊和追踪工作,降低病人的失访率。
Objective To analyze the achievements and existing problems in the implementation of the TB control program in Liuzhou for seven years and provide references for the smooth implementation of the project. Methods Collecting and analyzing the report of tuberculosis in urban area and 6 counties of Liuzhou city from 2003 to 2009 and the related information about the project patient registration were evaluated. Results A total of 21 101 cases of pulmonary tuberculosis were found in 2003-2009. The registration rate of new smear increased year by year. The initial smear positive rate was 5 909 cases, the cure rate was 91.00%. The number of retreatment smear positive cases was 1073, the cure rate was 79.40%. Conclusion TB control programs should be taken as a turning point to further strengthen training and supervision, improve capacity building and standardize technical management of TB prevention and control institutions, and improve the quality of diagnosis, treatment and management so as to further improve the cure rate. Through the cooperation between integrated medical institutions and drug prevention agencies, the reporting, referral and follow-up of tuberculosis patients and suspected tuberculosis patients will be stepped up to reduce the rate of patient loss.