摘要
目的 研究绩溪县肺结核病发病特征，为制定控制对策提供科学依据。方法 对绩溪县1997-2005年报告的肺结核病例进行流行病学分析，对县结核病专科门诊病人的管理和新发涂阳病人的转归进行分析研究。结果 1997～2005年绩溪县肺结核病平均发病率为73．39／10万，占法定甲乙类传染病发病总数的35．08％（1198／3415），且所占比重呈逐年增高的趋势；肺结核病人中绝大多数为农民，占发病总数的72．61％；各年龄组男性均高于女性，总发病率男女之比为2．83：1；男女性发病率均随年龄的增大而升高，45岁以后发病率上升明显，≥65岁组最高。2002年起，绩溪县实施现代结核病控制策略（DOTS），县结核病专科门诊4年间共有1368人就诊，确诊肺结核病人431人，初诊查痰率67．40％，痰检阳性268人，其中新发涂阳185人。在108例新发涂阳病人中，治疗2个月痰检阴转率达99．07％，治愈率达93．52％。结论 绩溪县结核病控制实施DOTS策略取得较好的效果，新发涂阳病人发现率和治愈率均达到要求。今后仍需加大结核病归口管理的力度，加强各级综合性医疗机构的转诊工作。
Objective In order to study the pulmonary tuberculosis incidence characteristics in Jixi County and provide scientific evidence for drafting the tuberculosis control strategies. Methods The data of the tuberculosis report incidence and the tuberculosis management and new smear positive tuberculosis cohort in Jixi county during the period from 1997 to 2005 were collected and analyzed. Results The average incidence of pulmonary tuberculosis was 73.39 per hundred thousand during the period from 1997 to 2005, accounted for 35.08% （ 1 198/3 415 ） of total legal class A and B infectious diseases. Proportion of TB was going up year by year. Farmer tuberculosis accounted for 72.61% of total amounts. The incidence of the male was higher than that of female in each age group . The rate of male cases to female cases was 2.83： 1. The rate was going up with age, particularly over 45 years old group. The incidence of over 65 years old groups was tallest. The modern tuberculosis control strategies （DOTS） was practiced in Jixi County from 2002. Among the 1 368 persons in specialty out - patient service during 4 years, the 431 tuberculosis were diagnosed. The early sputum detecting rate was 67. 40%. 268 patients were smear positive. The 185 patients were new smear positive among them. The smear negative rate was 99.07% after treated 2 months. The cure rate was 93.52%. Conclusion The modem tuberculosis control strategies （DOTS） got good effects in Jixi County. The new smear positive discovery rate met the work request. From now it is urgent to strengthen convergence case - management of the pulmonary tuberculosis.
出处
《安徽预防医学杂志》
2006年第5期280-282,共3页
Anhui Journal of Preventive Medicine
关键词
肺结核病
流行病学
控制策略
Pulmonary tuberculosis
Epidemiology
Control strategy
