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目的评价分析克孜勒苏柯尔克孜自治州1993～2001年实施世行贷款结核病控制项目的9年成效。方法收集并分析项目期间季报表和年报表及历年有关调查资料。结果项目以县(市)和人口为单位覆盖率逐年增加,现已达100.0%,结防机构综合防治能力得到加强,9年共接诊可疑对象13423人次,查痰率达82.3%、涂阳检出率29.8%,涂阳新登记率由上世纪90年代的22.1/10万,提高到2001年的125.9/10万。发现病人4514例,其中涂阳病人3288例、免费治疗涂阳病人3285例、治愈3166例,初治和复治涂阳病人治愈率在2001年达到96.7%和95.3%,保护6万余人免受结核菌感染,避免6000余人发病。结论克州实施世行贷款结核病控制项目成效显著,获得了很好的社会效益和经济效益,取得了可行经验,但还存在不少问题,需要采取有力措施,进一步完善结核病控制工作,为我州结核病防治工作的顺利实施打下良好的基础。
Objective To evaluate and analyze the 9-year effectiveness of implementing the World Bank-financed TB control project in Kizilsu Kirgiz Autonomous Prefecture from 1993 to 2001. Methods Collect and analyze quarterly reports and annual reports during the project period and relevant survey data over the years. Results The coverage rate of the project in counties (cities) and population increased year by year, now reaching 100.0%. The comprehensive prevention and treatment capacity of TB control agencies has been strengthened. A total of 13,423 suspicious patients were visited in 9 years, with a sputum sampling rate of 82.3% The detection rate was 29.8%. The new registration rate for smear positive use increased from 22.1 / 100,000 in the 1990s to 125.9 / 100,000 in 2001. Found 4514 patients, of which 3288 cases of smear positive patients, free treatment of smear positive patients 3285 cases, 3166 cases of cure, the cure rate of initial treatment and retreatment smear positive in 2001 reached 96.7% and 95.3%, to protect more than 60,000 people By TB infection, to avoid the incidence of more than 6,000. Conclusion The implementation of World Bank-financed TB control projects in Kezhou achieved remarkable results, obtained good social and economic benefits and gained viable experiences. However, there are still many problems that need to be taken to further improve the control of tuberculosis. Tuberculosis prevention and control work laid a good foundation for the smooth implementation.