山东省结核病发病率调查结果分析  

Analysis of Research on Tuberculosis Incidence in Shandong

作　　者：吴志磊[1] 王燕[1] 

机构地区：[1]山东省结核病防治中心,济南市250013

出　　处：《中国误诊学杂志》2001年第11期1625-1626,共2页Chinese Journal of Misdiagnostics

摘　　要：目的　分析结核病发病率调查结果可信程度 ,为今后工作提供经验和依据。方法　将 1 982年、1 987年发病调查的结果与 1 979年、1 984年患病调查结果及年度疫情登记情况对比。结果　两次发病率调查的涂阳发病率为0 .0 1 2 %、0 .0 1 0 % ,明显低于两次全国患病调查涂阳患者新发现率 0 .0 40 %和 0 .0 38% ,而 1 995～ 1 998年涂阳患者新登记率已高达发病率调查结果的 1 1 0 %～ 1 6 0 %。结论　发病率调查误差明显太大 ,从 1 995年后涂阳患者新登记率可以看出 ,患病率调查的新发现率用作测算发病疫情 ,比较符合逻辑和实际疫情。如想直接获得可信度高的发病疫情 ,就必须扩大发病调查的规模、范围 ,延长观察年时间 ,但人、财、物力耗费过大 ,无实际价值和意义。Objective To analyse feasibility of research result of tuberculosis(TB) incidence and provide experience and scientific basis for research in future.Methods The TB incidence and register epidemic situation of routine in 1982,1987 was compared with that in 1979,1982.Result Smear positive incidence was 0.012%,0.010% respectively.It was obviously lower than 0.040%,0.038% of both new smear positive case finding rate in morbidity research.Smear positive new register rate in 1995～1998 was 110%～160% more than the result of incidence research.Conclusion The error is obvious in incidence research.New case finding rate of morbidity research is logical and tally with real epidemic situation for estimating incidence.If want to obtain high feasibility incidence,just must enlarge investigation scale and observation time,but it is unvaluable and meaningless because consume manual power and material resources excessively.

关 键 词：肺结核 流行病学 发病率 

分 类 号：R521[医药卫生—内科学]