广西少数民族自治县结核病防治效果分析

ANALYSIS ON THE EFFECT OF TB PREVENTION AND TREATMENT IN THE MINORITY AUTONOMOUS COUNTIES IN GUANGXI FROM 2003 TO 2005

[目的]了解广西12个少数民族自治县实施世界银行贷款和第1轮全球基金(GF)结核病控制项目3年来结核病防治效果。[方法]对广西2003～2005年12个少数民族自治县结核病月报表、季度报表和年度报表进行分析。[结果]2003～2005年,广西12个少数民族自治县发现的新涂阳肺结核病人男女性别比例大约为2.5︰1;15～55岁年龄段新涂阳肺结核病人数占总病人数的比例88%。涂阳肺结核病人中因症就诊的比例均逐年下降,从2003年的77.73%下降到2005年的52.94%;由综合医院、乡镇卫生院和村医生等转诊来的病人逐年增加,从2003年的22.27%上升到2005年的46.48%。新涂阳肺结核病人的登记率从2003年的11.14/10万,上升到2005年的32.34/10万;发现率也从2003年的大约29%上升到2005年的85%。广西少数民族自治县新涂阳肺结核病人治愈率从2003年的77.52%,上升到2004年的87.85%;病人丢失率从2003年的5.37%下降到2004年的1.52%。[结论]通过实施世界银行贷款项目和第1轮全球基金结核病控制项目,广西少数民族自治县新涂阳肺结核病人的发现率和治愈率都有很大提高,分别达到了80.87%和87.85%,2004年就超过了世界卫生组织2005年的目标要求。

To know the prevention and treatment effect after implementing World Bank Loan and Global Fund Round One TB Control Projects in 12 minority autonomous counties of Guangxi in the past 3 years.[Methods]The monthly,quarterly and annual report forms of 12 minority autonomous counties of Guangxi from 2003 to 2005 were analyzed.[Results]The ratio of male new sputum smear positive TB patients to females in the 12 minority autonomous counties was about 2.5︰1. Both male and female patients aged between 15 to 55 accounted for about 88% of all patients from 2003 to 2005. The proportion of seeing doctors because of suspicious symptom among sputum smear positive TB patients decreased year by year from 77.73% in 2003 to 52.94% in 2005. The proportion of sputum smear positive patients through referral from general hospitals,township hospitals,and village doctors and so on increased from 22.27% in 2003 to 46.48% in 2005. The register rate of new sputum smear positive TB patients in minority autonomous counties increased from 11.14/100 000 in 2003 to 32.34/100 000 in 2005. The case detection rate increased from 29% in 2003 to 85% in 2005. The cure rates of new sputum smear positive TB patients in minority autonomous counties increased from 77.52% in 2003 to 87.85% in 2004. The default rate decreased from 5.37% in 2003 to 1.52% in 2004.[Conclusion]After implementing World Bank Loan and Global Fund Round One TB Control Projects in Guangxi minority autonomous counties,the case-detection rate and cure rate of new sputum smear positive TB patients increased significantly（80.87% and 87.85% respectively）,and exceeded the target of WHO in 2005.