合肥市农村人群结核病抽样调查结果分析  

Analysis of the sampling survey of tuberculosis among rural population in Hefei

作　　者：王莉丽[1] 宋尔萍[2] 计小军[2] 张洁莹[1] 周红霞[1] 

机构地区：[1]合肥市疾病预防控制中心,安徽合肥230061 [2]肥东县疾病预防控制中心,安徽肥东231600

出　　处：《安徽预防医学杂志》2012年第4期259-260,267,共3页Anhui Journal of Preventive Medicine

摘　　要：目的了解合肥市结核病的流行状况和危害程度,评价《全国结核病防治规划(2001-2010年)》的执行情况,为制订下一个10年规划奠定基础。方法采用分层整群等比例随机抽样的方法进行抽样,以可疑症状调查、X线胸片、痰涂片和结核分枝杆菌培养、药敏等为主要检查和诊断方法,采用问卷形式开展知晓率调查。结果合肥农村地区活动性肺结核患病率为153.1/10万,涂阳患病率和菌阳患病率均为76.6/10万,男性老年人群为主要患病对象。活动性肺结核患病率较1990和2000年分别下降了90%和92%;结核病相关核心信息知晓率最高达到55.4%、最低7.5%。结论合肥市农村地区居民结核病患病率明显下降,但老年人肺结核发病率高且发现率较低。特别需要探索针对农村留守老年人群健康促进工作。Objective To study the epidemiological features of tuberculosis in Hefei,evaluate the implementation of the ＂National Tuberculosis Prevention Plan（2001-2010）＂,and lay the foundation for the next 10-year plan.Methods Stratified cluster random sampling was used for this survey.Patients were diagnosed through inquiry of suspected symptoms,chest X-ray,sputum smear test,culture of Mycobacterium tuberculosis and drug susceptibility testing.The questionnaire survey was carried out to investigate awareness rate.Results The prevalence of active pulmonary tuberculosis was 153.1/100 000,of which smear positive tuberculosis and bacteriologically positive tuberculosis was both 76.6/100 000.Elderly men were the main patients.The prevalence of active pulmonary tuberculosis decreased by 90% and 92% compared with that in 1990 and 2000 respectively.The highest awareness rate of key message on tuberculosis was 55.4% and the lowest rate was 7.5%.Conclusion The prevalence of tuberculosis decreased obviously in the rural area of Hefei.However,there was high prevalence but low detection rate among elderly people.Health promotion programs for elderly people left behind in the countryside should be strengthened

关 键 词：结核病 农村 老年男性 

分 类 号：R52[医药卫生—内科学]