黃倩 白國(guó)霞 巴桑卓嘎 李寧

[摘要] 目的 了解西藏自治區(qū)林芝市各級(jí)疾病預(yù)防控制中心（疾控系統(tǒng)）慢性非傳染性疾病預(yù)防控制（慢性病防控）能力現(xiàn)狀，為加強(qiáng)全市慢性病防控能力建設(shè)、制定慢性病防控相關(guān)政策提供依據(jù)。方法 利用2018年林芝市及其轄區(qū)縣疾控預(yù)防控制中心慢性病與營(yíng)養(yǎng)重點(diǎn)工作進(jìn)展報(bào)表的數(shù)據(jù)，用SPSS 20.0統(tǒng)計(jì)學(xué)軟件進(jìn)行描述性分析。結(jié)果 全市各級(jí)疾病預(yù)防控制中心共有專職慢性病防控人員13名，其中市級(jí)、縣級(jí)疾病預(yù)防控制中心均數(shù)分別為3.00名、1.34名;全市慢性病防控工作經(jīng)費(fèi)占年度重大公共衛(wèi)生服務(wù)項(xiàng)目工作經(jīng)費(fèi)的比例為7.01%;7個(gè)縣級(jí)疾病預(yù)防控制中心均開展了慢性病監(jiān)測(cè)和干預(yù)，但開展項(xiàng)目不全。結(jié)論 林芝市慢性病防控能力較薄弱，應(yīng)增加各級(jí)疾控機(jī)構(gòu)慢性病防控專職人員數(shù)量和慢性病防控工作經(jīng)費(fèi)，加大慢性病監(jiān)測(cè)和干預(yù)力度。

[關(guān)鍵詞] 疾控系統(tǒng);慢性病;防控能力;林芝市

[中圖分類號(hào)] R19 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）08（a）-0186-03

[Abstract] Objective To understand the current status of chronic non-communicable disease prevention and control （chronic disease prevention and control） capabilities at all levels of disease prevention and control centers （disease control system） in Linzhi City， Tibet Autonomous Region， and to provide for strengthening the citys chronic disease prevention and control capacity building and formulating related policies in accordance with. Methods Using the data from the chronic disease and nutrition key work progress report of the Centers for Disease Control and Prevention in Linzhi City and its jurisdiction in 2018， SPSS 20.0 statistical saftware was used for descriptive analysis. Results There are 13 full-time chronic disease prevention and control personnel in the disease prevention and control centers at all levels in the city， of which the average number of municipal and county disease prevention and control centers was 3.00 and 1.34 respectively; the citys chronic disease prevention and control work expenditure accounts for the annual major public health service projects proportion of funds was 7.01%; 7 county-level disease prevention and control centers had all carried out chronic disease monitoring and intervention， but the projects are incomplete. Conclusion Linzhi City's ability to prevent and control chronic diseases is relatively weak. The number of full-time personnel for chronic disease prevention and control at all levels of disease control agencies and the funding for chronic disease prevention and control should be increased， and the monitoring and intervention of chronic diseases should be increased.

[Key words] Disease control system; Chronic diseases; Prevention and control capabilities; Linzhi city

慢性非傳染性疾病又稱慢性病，是指病情發(fā)展緩慢、持續(xù)時(shí)間長(zhǎng)的疾病。當(dāng)前慢性病已成為威脅我國(guó)居民生命健康的最主要公共衛(wèi)生問題之一。西藏居民因慢性病死亡占全人群死因的76.27%，前5位死因順序分別為腦血管病、呼吸系統(tǒng)疾病、心臟病、消化系統(tǒng)疾病和惡性腫瘤[1]。林芝市居民因慢性病死亡約占全人群死因的60%，全人群死因前5位分別為心臟病、腦血管疾病、意外傷害、惡性腫瘤和消化系統(tǒng)疾病[2]。慢性病防控人力、經(jīng)費(fèi)資源及開展慢性病防控項(xiàng)目是了解一個(gè)地區(qū)慢性病防控能力的重要因素，而疾控系統(tǒng)是慢性病防控工作的中堅(jiān)力量，對(duì)推動(dòng)相關(guān)工作有十分重要的作用[3-4]。慢性病預(yù)防控制能力評(píng)估重要性日益顯著[5]。為了解林芝市各級(jí)疾病預(yù)防控制中心（以下簡(jiǎn)稱疾控中心）慢性病防控能力現(xiàn)狀，掌握慢性病防治的制約因素與需求，發(fā)現(xiàn)目前慢性病防控工作中的不足，以加強(qiáng)全市慢性病防控能力建設(shè)，并為制定慢性病防控相關(guān)政策提供依據(jù)，現(xiàn)對(duì)2018年林芝市疾控系統(tǒng)慢性病防控能力進(jìn)行調(diào)查，報(bào)道如下。