西藏结核病控制项目工作13年效果评价

Evaluation for effectiveness of Tuberculosis Control Program in 13 years in Tibet Autonomous region .

目的评价西藏自治区实施结核病控制项目13年效果。方法根据1994～2006年西藏自治区结核病控制项目季报、月报及相关资料进行分析和评价。结果实施结核病控制项目后,传染源的发现和治愈率逐年提高,共接诊可疑肺结核症状者40 548例,发现活动性肺结核病人35 664例,其中涂阳肺结核病人12 743例。新发涂阳登记率从1994年的4.91/10万逐年上升到57.00/10万,初治涂阳治愈率由33.33%上升到82.56%,复治涂阳病人治愈率从21.74%上升到56.30%。初、复治涂阳病人比例为1:0.20。结论西藏自治区结核病控制项目取得了较大的成效,各项指标均有较大幅度提高。但还未达到"高发现、高治愈率"的目标,结核病疫情仍很严重,须进一步加强结核病控制工作。

Objective To evaluate the effectiveness of the Tuberculosis control program implemented in 13 years in the Tibet Autonomous region.Methods According to the evaluations and analysis of the Monthly and Quarterly Reports,and other sources of information of the Tuberculosis Control Program in TAR,from 1994—2006.Results Since the implementation of the tuberculosis control program,the level of detection source of infection and treatment of tuberculosis has improved,diagnosed 40 548 cases of suspicious tuberculosis patients,detected 35 664 cases of active pulmonary tuberculosis patients,amongst 12 743 cases of smear-positive tuberculosis patients.The registration of smear-positive rate from 4.91/100000 in 1994 increased up to 57.00/100 000.New smear positive cured rate increased from 33.33% up to 82.56%,retreated smear positive cured rate increased from 21.74% up to 56.30%.The rate between early and retreated smear-positive patients is 1：0.20.Conclusions The tuberculosis control program of TAR made a considerable achievement,but the goal of（High Detection and High Cure Rate） is not met yet,the epidemical situation of tuberculosis is still severe,needs to reinforce further implementations.