石家庄市实施世界银行贷款和英国赠款的结核病控制项目效果分析

Subject Analysis on the Implementation Results of World Bank Loaned/DFID Granted Tuberculosis Control Project in Shijiazhuang

目的评价石家庄市世界银行贷款和英国赠款中国结核病控制项目工作实施效果。方法按照《中国结核病防治规划实施指南》的要求认真落实各项工作,并收集2002—2008年该市23个县市区相关常规监测资料、各种报表,进行汇总分析。结果 7年共发现痰结核菌涂片阳性(简称涂阳)肺结核病人25 316例,涂阳登记率由2002年的24.52/10万上升至2008年的41.67/10万,提高了16.85/10万。初治涂阳肺结核病人22 210例,男性发病高峰在35～55岁之间,女性发病高峰在15～35岁之间,治愈率为96.9%;主动就诊占初诊可疑患者的60.59%;追踪到位率2005年为65.56%,2008年为71.26%。结论项目实施积累了丰富经验,各项工作取得了显著成绩,为石家庄市今后结核病防治工作的有效开展提供了有力的支持。

[Objective]To evaluate the implement effect of World Bank loaned/DFID granted China tuberculosis control project in Shijiazhuang.[Methods]According to the requirements of China Tuberculosis Program Implementation Guide,all works were implemented seriously.The routine monitoring data and various reports of 23 conuties and districts of this city from 2002 to 2008 were collected and analyzed.[Results]25 316 cases of smear-positive TB were detected in 7 years.The registration rate of smear-positive patients increased from 24.52/100 000 in 2002 to 41.67/100 000 in 2009,increased by 16.85/100 000.There were 22 210 cases of smear-positive TB in the initial treatment.The male peak age was 35～55 years old,and female peak age was 15～35 years old.The cure rate was 96.9%.The patients visited hospital actively accounted for 60.59% of suspicious patients.The tracing rate in 2005 and 2008 was 65.56% and 71.26%,respectively.[Conclusion]The rich experiences were accumulated in the implementation of the project,all works achieved remarkable progress.This project provides powerful support for the effective development of tuberculosis control in Shijiazhuang in further.