某战区结核病流行病学抽样调查  

AN EPIDEMIOL0GICAL INVESTIGAION OF TUBERCULOSIS IN SOME COMMAND

作　　者：刘元东[1] 苗仲水[1] 黄尉初[2] 郭慧兰[1] 李子建[1] 靳晓红[1] 张燕霞 王焕玉[2] 

机构地区：[1]济南军区联勤部军事医学研究所,济南250014 [2]济南军区联勤部卫生部防疫处

出　　处：《解放军预防医学杂志》2000年第3期176-179,共4页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：全军"九五"指令性课题!(No.96L0 5 8)

摘　　要：目的 :了解部队结核病疫情现状 ,评价防治措施效果 ,为制定军队结核病控制规划提供依据。方法 :在全区随机抽样取 10个调查点 ,用结核菌素 (PPD)试验、X线检查、痰菌检查和PCR检测等方法进行结核病普查。结果 :当前某战区部队活动性肺结核患病率为 176 .6 6 / 10万 ,菌阳患病率为 33.12 / 10万 ,涂阳患病率为 2 2 .0 8/ 10万。与 1980年全年结核病普查结果 (2 6 0 / 10万 )比 ,患病率下降了 32 .0 5% ,年均递减 2 .17% ,低于全国平均下降速度 (2 .80 % )。在不同部队和人群中 ,患病率及感染率均有较大差异 ,但变化趋势基本一致。结论 :部队结核病疫情下降速度较为缓慢 ,现行结核病防治措施难以适应部队结防工作需要 ,建议应尽快研究制定适合部队特点的结核病控制对策。ABSTRACT To investigate the present epidemic situation of tuberculosis in the army and to evaluate the effects of control measures as to provide a basis for making a new project of tuberculosis control. Methods: The investigation was carried out in 10 units selected at random in the command by PPD test, x-rays examination, sputum examination and PCR.Results:The active morbidity rate, the morbidity rate of bateria-positive and the morbidity rate of smear-positive were 176.66,33.12,22.05 per hudred thousand respectively in the command. Compared with the results of the survey in 1980, the active morbidity rate decreased by 32.05%, annual average decreasing rate was 2.17%, which was below the decreasing rate for whole coumtry(2.80%). There were clear differences on morbidity and infection rates among different units and differnt populations, but the trends are the same.Conclusion: The present measures seemed to be not suitable enough to the demands for tuberculosis preventon. New control measures for tuberculosis should be worked out quickly.

关 键 词：结核病 流行病学 抽样调查 

分 类 号：R521.01[医药卫生—内科学] R181.11[医药卫生—临床医学]