2001-2010年镇江市结核病控制项目效果评价  

Effect evaluation on tuberculosis control project in Zhenjiang City,2001-2010

作　　者：戴冰[1] 蒋晖[1] 张明辉[1] 季小平[1] 夏小娟[1] 吴霄[2] 

机构地区：[1]镇江市疾病预防控制中心慢性传染病防制科,江苏镇江212003 [2]镇江市疾病预防控制中心检验科,江苏镇江212003

出　　处：《中华疾病控制杂志》2013年第1期59-61,共3页Chinese Journal of Disease Control & Prevention

摘　　要：目的分析2001-2010年镇江市结核病控制项目的效果。方法对2001-2010年结核病控制项目报表和网络直报资料进行统计分析。结果镇江市可疑病人就诊人数逐年增加,其中因症就诊和转诊人数呈上升趋势;全市转诊和追踪到位较好,转诊到位率和追踪到位率明显提高;2010年活动性肺结核登记率为73.11/10万,涂阳肺结核登记率为40.67/10万;男性初治涂阳登记率明显高于女性(2=1 749.67,P<0.001);2010年65岁及以上组初治涂阳肺结核病人登记率达104.14/10万,2002-2010年初治涂阳和复治涂阳肺结核病人2月末痰检阴转率呈上升趋势。结论镇江市自2002年实施直接督导短程化疗(directly doserved treatment short-course,DOTS)策略,经过近10年努力,结核病防治效果显著。Objective To analyse the effect of tuberculosis （TB） control in Zhenjiang City, 2001 -2010. Methods Statement and observational system of disease prevention and controlling in Zhenjiang City of 2001 -2010 were selected. Results The number of suspicious patients infected with TB increased year by year, and referra patients raised year by year. Referral rates and tracing rates had a rising trend. The registration rates of active pulmonary TB cases was 73. 11/100 000, and registration rate of smear-positive pulmonary TB cases was dO. 67/100 000. Male initial smear-positive registration rate was significantly higher than that of female （ Z2 = 1 749. 67, P 〈 0. 001 ）. The rate of initial smear-positive registration in 65 years of age and older group was 104. 14/100 000. The rates of sputum converting negative in initial smear-positive patients and retreatment smear-positive patients were rising year by year. Conclusions The effect of preventing and controlling TB has been noticable after ten years of our hard work, since DOTS strategy impled in 2002.

关 键 词：结核 肺 健康教育 广泛耐药结核 

分 类 号：R52[医药卫生—内科学]