通辽市涂阴肺结核病的流行与病例发现登记状况分析  

Analysis of prevalence and discovery situation of smear negative pulmonary tuberculosis in Tongliao city

作　　者：赵德新[1] 彭国林 张慧杰[1] 

机构地区：[1]内蒙古通辽市结核病防治所,通辽028000 [2]内蒙古通辽市开鲁县结核病防治所,通辽028400

出　　处：《中国防痨杂志》2010年第5期245-247,共3页Chinese Journal of Antituberculosis

摘　　要：目的旨在了解通辽市涂阴肺结核病流行及实施结核病控制项目前后涂阴病例登记状况,分析、探讨存在问题的症结和提高涂阴肺结核病人发现的重要性。方法根据通辽市的肺结核登记资料、结核病流行病学调查资料及2005—2008年的传染病网络直报的肺结核发现统计资料进行分析。结果通辽市4次结核病流行病学调查均表明,涂阴肺结核的患病率高于涂阳肺结核的患病率,约占活动性肺结核的2/3。通辽市1991—2003年涂阴/涂阳登记率比例维持在1.1～2.4之间;2004—2008年涂阴与涂阳肺结核病人登记数量逐年提高,其涂阴/涂阳比例降为0.60～0.85,与结核病流行病学调查结果相比差别较大。结论通辽市自2004年以来,登记涂阴与涂阳肺结核病人比例明显失衡,涂阴肺结核病人发现登记水平较低。在加强涂阳肺结核控制的同时,也不应忽视涂阴结核病的控制工作。Objective To understand prevalence of smear negative pulmonary tuberculosis and its discovery situation before and after implementing the tuberculosis control program,to analyze the causes of existing problem and importance of improving smear negative case finding. Methods Data was obtained from local registration information of pulmonary tuberculosis cases and tuberculosis epidemiology survey as well as from internet based Chinese infectious reporting system in Tongliao City from 2005 to 2008. Results According to four times of tuberculosis epidemiology survey,the prevalence rate of smear negative pulmonary tuberculosis is higher than that of smear positive,and accounted for two third of number of active pulmonary tuberculosis.From 1991 to 2003,the ratio of smear negative to smear positive stabilized between 1.1 to 2.4.However,from 2004to 2008,the registration number of the new smear negative and positive pulmonary tuberculosis cases both increased year by year,the ratio of smear negative to smear positive decreased to 0.60～0.85.This result is significantly different in comparison with the results of epidemiology survey. Conclusion Since 2004,there was an obvious imbalance in terms of number of smear negative to smear positive detected;Registration rate of smear negative cases was relatively low.Therefore control work of smearnegative tuberculosis should not be overlooked while we emphasis smear positive case finding.

关 键 词：结核 肺/流行病学 结核 肺/预防和控制 通辽市 

分 类 号：R521[医药卫生—内科学]