摘要
目的分析2008-2011年青海省25个贫困县活动性肺结核防治效果,找出工作中存在的问题,提出改进意见,为今后该病的防治工作提供借鉴。方法收集2008-2011年青海省《全国结核病管理信息系统》中由疾控系统工作人员录入并审核的25个贫困县结核病流行病学数据,并进行分析。结果现代结核病控制策略(DOTS)自2005年起就覆盖全省25个贫困县;共发现活动性肺结核患者9 693例,其中痰涂片阳性肺结核患者6 790例,涂阴肺结核患者2 903例;痰涂片镜检阳性肺结核患者治愈率达到92.74%(5 814/6 269),痰涂片镜检阴性肺结核患者治疗完成疗程率为94.51%(2 513/2 659);4年来,共减少因结核病死亡2 394例,并且避免43 428名健康人感染结核菌及4 343例新发结核病患者;减少结核病诊疗相关的医疗费用达到8 946 580元;挽回52 109名伤残调整生命年(DALY);挽回社会经济价值8.14亿元。结论贫困地区结核病防治效果显著,社会效果/效益良好,减少了对经济建设和社会发展的阻碍;为贫困地区今后开展结核病防治工作提供了有效模式。
Objective To analyze the effect of tuberculosis(TB)control in Qinghai poor area,from 2008 to 2011,and to detect the problems and provide evidences and reference for future prevention and control.Methods The epidemiology data of TB in online database of the National Tuberculosis Management Information System from 2008 to 2011 for poor area was collected and analyzed.Results The modern TB control strategy(DOTS)has covered all 25 poor counties in the province since 2005.9 693 active TB cases were detected,including 6 790 smear positive and 2 903 smear negative pulmonary TB cases.The cure rate of smear positive pulmonary TB cases was 92.74%,the treatment completion rate of smear negative was 94.51%.It was estimated that TB control system in poor area reduced 394 TB deaths,avoided 43 428 healthy people being infected by TB thus avoided 4 323 new TB cases.In total,8 946 580 Yuan RMB of the medical care cost,52 109 Disability Adjusted of Life Years(DALY)and 0.814 billion Yuan RMB social economic value were saved.Conclusions The TB control effect in poor area of Qinghai province was significant,social-effect and social-benefit were good,and obstacles of social and ecnomic development were reduced.The TB control system provided a successful model to TB control in poor area.
出处
《慢性病学杂志》
2013年第2期108-111,共4页
Chronic Pathematology Journal
关键词
贫困
结核病
防治
效果
分析
Poor
Tuberculosis
Control
Effect
Analysis
