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目的 评价深圳市宝安区含外来人口在内的全人口实施世行贷款结核病控制项目 9年成效。方法 收集分析 1 993- 2 0 0 1年项目季报表及相关资料。结果 9年共接诊肺结核可疑者 1 75 0 0例 (常住 36 2 5例、暂住 1 3875例 ) ,发现涂阳肺结核 2 70 7例 (常住 71 6例、暂住 1 991例 ) ,初治涂阳病例治疗覆盖率常、暂住均为 1 0 0 %,完成规则治疗率常住为 98.4 %、暂住为 97.5 %,治疗 2月末痰菌转阴率常住为 91 .7%、暂住为 91 .3%,治愈率常住为 98.0 %、暂住为 96 .7%。占总人口数 80 %的外来人口与仅占 2 0 %的常住人口的化疗及管理效果经统计学处理无显著性差异 (P >0 .0 5 )。均达到高水平。结论 只要执行正确的技术策略 ,不管是常住人口还是外来流动人口的结核病控制工作同样可获得圆满成功。
Objective To evaluate the effectiveness of implementing the World Bank-financed TB control project for the entire population, including the migrant population, in Bao’an District, Shenzhen City. Methods The collection and analysis of the project quarterly reports for the period of 1993-2001 and related materials were collected. Results A total of 1 75 0 0 cases (36 2 5 permanent residents and 1 387 temporary residents) were admitted to public hospitals for tuberculosis during the past 9 years. A total of 2 707 cases of smear positive pulmonary tuberculosis (71 6 permanent residents and 1 991 temporary residents) Treatment of smear positive cases of treatment coverage, temporary stay was 100%, regular rule rate of 98.4% for permanent residence, 97.5% for temporary stay, the end of 2 treatment of sputum negative rate of 91.7% 91.3%, the cure rate is 98.0%, and the temporary stay is 96.7%. There was no statistically significant difference in the effect of chemotherapy and management between the non-native population accounting for 80% of the total population and the resident population of only 20% (P> 0.05). Have reached a high level. Conclusions Tuberculosis control, whether resident or migrant, can also be equally successful with the right technology strategy.