摘要
目的分析山西省2011-2015年肺结核控制情况,为进一步做好山西省结核病防治工作提供科学依据。方法利用"结核病管理信息系统"数据资料,对2011-2015年肺结核可疑症状者(314 019例)、活动性肺结核患者(94 610例)、新涂阳肺结核患者(35 712例)以及新涂阳肺结核患者(35 712例)治疗转归等数据进行统计分析。结果 2011-2015年就诊疑似肺结核患者中,发现活动性肺结核患者94 610例,活动性肺结核登记率平均为52. 41/10万,呈逐年下降趋势,各年度间登记率比较,差异有统计学意义(χ~2=2 787. 76,P <0. 05);其中新涂阳患者35 712例,新涂阳患者登记率平均为19. 78/10万,各年度间登记率比较,差异有统计学意义(χ~2=6 984. 00,P <0. 05);涂阴患者51 854例,未查痰患者963例,结核性胸膜炎3 614例;登记的35 712例新涂阳肺结核患者治愈34 189例,治愈率95. 74%。结论2011-2015年山西省肺结核控制效果好,活动性和新涂阳肺结核患者登记率逐年下降,新涂阳肺结核患者治愈率保持在较高水平,应在新型结核病防治服务模式下继续加强患者的发现和治疗管理水平。
Objective To analyze control situation of tuberculosis（ TB） between 2011 and 2015 in Shanxi,to further promote TB control in Shanxi and provide scientific basis. Methods By using data information in TB management information system,suspicious tuberculosis patients between 2011 and 2015（ 314 019 cases in total）,active tuberculosis patients registration information（ 94 610 cases in total）,new smear positive patients registration information（ 35 712 cases in total） and new smear positive patients（ 35 712 cases） treatment outcome were collected to analyze. Results During 2011 and 2015,among the suspicious tuberculosis,a total of 94 610 patients with active TB cases were detected with the registration rate of 52. 41/100000,showing a decreasing trend year by year,the comparison of registration rates between years： χ2= 2787. 76,P 〈 0. 05,difference was considered statistically significant; among the active TB patients,35 712 cases were new smear positive with registration rate of 19. 78/100000,the comparison of registration rates between years： χ2= 6984. 00,P 〈 0. 05,difference was considered statistically significant; 51 854 cases were smear negative patients,963 cases were no sputum examination patients,3 614 cases were TB pleuritis patients; among the new smear positive patients registration（ 35 712 cases）,34 189 cases were cured,the cure rate was 95. 74%. Conclusion The TB prevention in Shanxi province had good effect between2011 and2015. The registration rate of active and new smear positive pulmonary tuberculosis patients declined by year,and cure rate of new smear positive pulmonary tuberculosis patients remained at a high level. In the future,it continues to strengthen patient detection and treatment management under the new horizontal model of TB prevention and treatment services.
作者
王春蒲
樊丽宇
高建伟
WANG Chun-pu , FAN Li-yu , GAO Jian-wei(Shanxi Provincial Center for Disease Control and Prevention, Taiyuan,Shanxi 030012, China)
出处
《中国公共卫生管理》
2018年第5期676-678,682,共4页
Chinese Journal of Public Health Management
关键词
肺结核
预防和控制
登记
治疗转归
tuberculosis
prevention and control
registries
treatment outcome
