宁夏回族自治区结核病控制项目实施前后肺结核监测结果的对比研究

Comparative study on results of pulmonary tuberculosis surveillance before and during implementation of tuberculosis control project in Ningxia Hui autonomous region

目的了解世界银行贷款中国结核病控制项目（以下简称项目）在宁夏回族自治区（简称宁夏）实施后所取得的成效。方法选择能反映宁夏结核病控制基本状况的中卫、平罗、青铜峡、固原和西吉５县（市），执行统一的监测方案，除填报各种项目报表外，还填报本课题监测报表，并将项目实施前（１９９０、１９９１年）后（１９９５、１９９６年）的监测数据进行对比分析。结果项目实施后涂阳肺结核新登记率平均为２０．３５／１０万，是项目实施前（６．６５／１０万）的３．０６倍；新登记涂阳肺结核患者的比例由２１．３７％升至６１．７０％；新登记肺结核患者痰检阳性率由２２．８０％提高到３５．３２％；新发涂阳肺结核发现率由７．９７％升至３１．１１％；肺结核死亡率下降；新发涂阳肺结核患者发现、治疗总效果由项目实施前的７．６０％升至３１．９０％。

Objective To understand the effect of the World Bankloaned tuberculosis control project in Ningxia Hui autonomous region. Method Five counties which can reflect the situation of tuberculosis control in Ningxia were selected for observation, and the same method of surveillance was carried out. The subjects investigated were required to fill in the surveillance and the project forms at the same time, and the data of the tuberculosis control before (1990,1991) and during (1995,1996) implementation of the project were compared. Result The registration rate of new smearpositive patients was 20.35 per 100 000 population during the implementation of the project, with a 3.06 times increase compared with that before implementation of the project. The proportion of new smearpositive patients increased from 21.37% to 61.70%, the smearpositive rate of newly registered patients from 22.80% to 35.32%, and the finding rate of new smearpositive patients from 7.97% to 31.11%. The mortality rate of pulmonary tuberculosis decreased by 58.36%. The total impact of finding and treatment increased from 7.60% to 31.90%. Conclusion Satisfactory results have been achieved during the implementation of the project in Ningxia.