六安市2003-2010年新发涂阳病人现状分析  

Analysis of the status of new smear positive patients between 2003 to 2010 in Lu'an city

作　　者：汪全治[1] 金德兵[1] 

机构地区：[1]六安市疾病预防控制中心,安徽237008

出　　处：《安徽卫生职业技术学院学报》2012年第1期101-103,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:了解六安市近年来结核病的发病与控制情况,为今后的结核病防治提科学依据。方法:对2003～2010年六安市五县三区结核病月报、季报/年报表和网报等资料进行分析。结果:2003～2010年,全市初诊者66460人,确诊涂阳病例20519人,其中新发涂阳病人17878人,随着年份的增加涂阳病人和新发涂阳病人的检出率有递增的趋势,平均登记率自2005年全面实施DOTS后逐年缓慢下降;男女之比为2.77:1(13130/4748),8年间新发涂阳肺结核的年龄构成呈现出较为一致的变化趋势,整体呈负偏态分布:在0～65岁各年龄组间呈总体上升趋势,35～65岁为高发病年龄段,在55～65岁年龄组达最高峰,以后呈直线急速下降;新发涂阳病人强化期治疗后2月末、3月末痰菌阴转率逐年不断提高,新发涂阳病人8年平均治愈率90.93%。结论:对六安市常住人口肺结核病人实施DOTS管理策略是可行和有效的。但是新发涂阳肺结核发病率下降缓慢,55～65岁为发病数较多人群,今后应引起高度关注。Objective ：To investigate the incidence and control ot tuberculosis in Luhn city m recent years, anO to provide scientific evidence for TB control. Methods ： Tuberculosis monthly, quarterly, annual reports, network da- tas and other reports were analyzed in five counties and third district of Lu^n city between 2003 to 2010. Results ： There were 66,460 newly diagnosed patients, 20,519 smear- positive cases and 17 878 new smear- positive pa- tients between 2003 to 2010. The detection rate of smear - positive patients and new smear - positive patients in- creased as the year. The average rate of registration declined slowly year by year after the full implementation of DOTS since 2005. Male to female ratio is 2.77 to 1 （ 13130/4748 ）, Trends of age structure of new smear - posi- tive pulmonary tuberculosis was consistent during the recent 8 years, with a negative skewed distribution and a gen- eral upward trend in all age groups between 0 to 65 years. High age of onset was 35 to 65 years, and 55 -65 age group reached a peak, then with a linear rapid decline. Sputum conversion rate of new smear - positive patients in- creased year by year after 2 months and 3 months of intensive phase of treatment. The average cure rate of the new smear positive patients was 90.93 % in recent 8 years. Conclusions ： The implementation of DOTS strategy is feasible and effective for TB patients among resident population of Luhn city. However, the new smear- positive tuberculo- sis incidence declined slowly, especially the 55 -65 age group have a higher prevalence, which should draw more attention the future.

关 键 词：结核病 预防/控制 流行病学 

分 类 号：R521[医药卫生—内科学]