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目的研究吉木乃县2001～2010年结核病项目资料,分析患者发现、登记、治疗、治愈情况并进行效果分析。方法采用流行病学回顾调查方法,按病案记录顺序进行整理,按照《中国结核病防治规划实施工作指南》的要求统计分析。结果涂阳检出率由项目初期的不足20%稳步达到35%以上;涂阳新登记率由项目初期的55/10万稳步升至85/10万以上;新发涂阳病例与复治涂阳之比平均1∶0.19;可疑症状者就诊率平均为360/10万;初、复治涂阳2月末转阴率分别为93.33%和97.02%;3月末转阴率分别为84.61%和92.30%;初、复治涂阳患者治愈率分别为97.00%和92.3%。结论 2001～2010年共登记治疗管理涂阳肺结核患者321例、涂阳登记率呈逐年稳步上升,是吉木乃县卫Ⅴ项目期间的4.5倍。项目的实施提高了患者的发现率,减轻结核病患者的经济负担,降低了结核病治疗的社会成本,并取得了巨大的社会效益。
Objective To study the data of tuberculosis project from 2001 to 2010 in Jimunai County and analyze the findings, registration, treatment and cure of patients and analyze the effect. Methods Using epidemiological retrospective survey method, according to the order of medical records to organize, according to “China Tuberculosis Prevention and Control Planning Implementation Guide” requirements of statistical analysis. Results The detection rate of smear positive increased steadily from 35% at less than 20% of the initial stage of the project; the new registration rate of smear positive rose steadily from 55/10 million at the beginning of the project to more than 85/10 million; The average 1: 0.19 for the suspicious symptoms; the average visit rate of 360/100 for those with suspected symptoms was 93.33% and 97.22% respectively at the beginning and the end of the second trimester; the negative rates at the end of March were 84.61% and 92.30% ; The cure rate of smear-positive patients was 97.00% and 92.3% respectively. Conclusion From 2001 to 2010, a total of 321 cases of smear-positive pulmonary tuberculosis were registered and managed. The registration rate of smear-positive enrollment increased steadily year by year, 4.5 times as much as that of the Ⅴ project in Jimunai County. The implementation of the project increased the detection rate of patients, reduced the economic burden of TB patients, reduced the social costs of TB treatment and achieved great social benefits.