江西吉安市2001～2009年结核病防治效果评价

Strategy and effects of pulmonary tuberculosis control in Ji'an City of Jiangxi Province in 2001～2009

目的分析江西省吉安市2000～2009年结核病防控结果,评价现代结核病防治策略（DOTS）的实施效果。方法采用国家《全国结核病防治规划（2001-2010年）》监测和评估的调查登记表和指标,进行调查、核实、统计、分析。结果 2000～2009年累计发现、治疗、督导管理传染性肺结核病人30 767例。新涂阳病人登记逐年上升,达到43.27~60.52/10万;患者转诊到位率为66.74%,追踪到位率达到84.82%;免费治疗涂阳病人总治愈率92.01%;2005～2009年发病率从135.97/10万下降至92.58/10万。结论 DOTS是实现结核病人高发现率与高治愈率的有效措施,今后还需巩固结核病防治可持续发展机制。

Aim To evaluate the strategy and effect of DOTS in Ji＇an City.Methods TB surveillance data from 2000 to 2009 in Jian were collected and analyzed according to Chinese TB Control Program 2001~2010.Results From 2000 to 2009 a total of 30 767 TB patients were detected and under the DOTS management.Registered rate of new smear positive TB increased and reached 43.27~60.52/100 000.The referral treatment rate was 66.74%,and the tracing rate was 84.82%.The cure rate for the smear positive patients was 92.01%.The morbidity rate decreased from 135.97/100 000 to 92.58/100000 in 2005~2009.Conclusion DOTS is an effective measures for attaining high case detection and cure rate.Sustainable control strategy is needed in the future for TB control.