结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 283-288.doi: 10.3969/j.issn.2095-3755.2013.04.014

• 论著 • 上一篇    下一篇

山东省泰安市结核病防治规划(2001—2010年)实施效果评价

李建之,孟凡亮   

  1. 271000 山东省泰安市结核病防治中心预防科
  • 收稿日期:2013-11-09 出版日期:2013-11-30 发布日期:2013-11-30
  • 通信作者: 李建之,Email:ljzsdta@126.com

Effect evaluation of implementation of Tai’an tuberculosis control programme (2001—2010) in Shandong province

LI Jian-zhi, MENG Fan-liang   

  1. Division of Prevention of Tai’an Center for Tuberculosis Control and Prevention, Tai’an 271000, China
  • Received:2013-11-09 Online:2013-11-30 Published:2013-11-30
  • Contact: LI Jian-zhi, Email: ljzsdta@126.com

摘要: 目的 评价山东省泰安市结核病防治10年规划(2001—2010年)实施效果,总结经验、分析存在问题和不足,为泰安市结核病防治(简称“结防”)工作的可持续发展提供科学依据和支持。方法 按照《全国结核病防治规划(2001—2010年)》终期评估实施方案,收集10年来泰安市及所辖6个县(市、区)实施规划评估资料、评估报告,以及2001—2010年泰安市及6个县级结防机构的结核病常规监测报表资料和结核病管理信息系统的有关信息,采用EpiData 3.1软件和Excel 2003软件进行汇总、统计分析。结果 2001—2010年,泰安市实施DOTS策略覆盖率100.00%(6/6);全市用于结防工作的总经费1516.79万元;累计接诊111 690例结核病可疑患者,共发现活动性肺结核患者23 335例,年均登记率为42.41/10万(23 335/55 021 500);全市非结防机构报告肺结核及可疑患者转诊到位率38.11%(2735/7177),追踪到位率80.12%(3559/4442),总体到位率88.10%(6323/7177);全市结防机构新涂阳肺结核患者治愈率94.30%(12 734/13 504),复治涂阳治愈率90.38%(2752/3045),总治愈率为93.58%(15 486/16 549);全市累计成功治疗活动性肺结核患者21 893例,减少感染104 449人,避免发病10 445人,减少死亡5689例,节约医疗费用711.57万元,挽回的社会经济总价值达19.21亿元。结论 泰安市结核病防治10年规划的实施取得了明显成效。

Abstract: Objective To evaluate the implementation effect of Tai’an tuberculosis (TB) control programme during 2001—2010, and to summarize the experience, analyze the existing problems and the inadequacies, and to provide the scientific evidence and support for sustainable development of TB control and prevention in Tai’an city. Methods According to the implementation plan of final assessment of the national TB control programme (2001—2010), the data of evaluation of TB control programme implementation and evaluation reports, and the routine surveillance data and information from TB management information system of Tai’an and its 6 counties during 2001—2010 were collected. EpiData 3.1 and Excel 2003 were used for data cleaning and analysis. Results During 2001—2010, the DOTS coverage rate reached 100.00% (6/6). The total funds for TB prevention and control was 15 167 900 Yuan. 111 690 patients with suspicious symptoms of TB sought health care, among whom 23 335 active pulmonary TB cases were detected, and the average annual notification rate was 42.41/100 000 (23 335/55 021 500). The re-ferral arrival rate was 38.11% (2735/7177), and the tracing arrival rate was 80.12% (3559/4442) and the overall arrival rate was 88.10% (6323/7177). The cure rate of new smear positive TB patients was 94.30% (12 734/13 504), and that of retreated smear positive TB cases was 90.38% (2752/3045), and the overall cure rate was 93.58% (15 486/16 549). 21 893 active pulmonary TB cases were treated successfully, which avoided 104 449 people from TB infection, avoided 10 445 people from TB, and 5689 people from death. 7.1157 million Yuan was saved on medical care, and 1.921 billion Yuan of social economic loss was saved. Conclusion The implementation of tuberculosis control programme in Tai’an during 2001—2010 has achieved remarkable results.