四川省结核病流行趋势及控制对策研究  

Study on epidemic trend and control policy of tuberculosis in Sichuan province

作　　者：吴建林[1] 熊国屏[1] 冯淑范[1] 曹慧[1] 饶正远[1] 江涛[1] 刘杨椅[1] 段炜[1] 唐兴华[1] 

机构地区：[1]四川省结核病防治所,成都610036

出　　处：《中华结核和呼吸杂志》2002年第1期12-14,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：四川省卫生厅 2 0 0 0年科研基金资助项目 ( 0 0 0 171)

摘　　要：目的　评价现行结核病控制对策实施效果 ,为制定结核病控制规划和对策提供科学依据。方法　于 2 0 0 0年进行了结核病流行病学抽样调查 ,对所获资料进行分析并与 1990年进行了比较。结果　 2 0 0 0年肺结核患病率、菌阳患病率和涂阳患病率分别为 5 44 / 10万、2 5 0 / 10万和 144 / 10万 ,分别较 1990年下降 41 8%、30 0 %和 35 0 % ,年均递降率分别为 5 3%、3 5 %和 4 2 %。结核病和肺结核的死亡率分别为 2 4/ 10万和 2 2 / 10万 ,分别较 1990年下降 2 0 0 %和 12 0 %。民族地区、山区的疫情高于城市、农村、平原和丘陵地区。71%的传染性患者未被发现 ,复治患者比例高达 33 3%。经济状况是影响结核病控制的主要因素。结论　过去的 10年间结核病疫情下降缓慢 ,但以控制传染源为重点。Objective To evaluate efficacy of tuberculosis control policy and provide scientific evidence for drawing up tuberculosis control program. Methods Data of the epidemiological survey for tuberculosis in Sichuan in 2000 were analyzed and part of the results were compared with that before. Results The prevalence of active pulmonary tuberculosis,the bacteriological positive prevalence and smear positive prevelance of pulmonary tuberculosis in 2000 were 544/100 000,250/100 000 and 144/100 000,respectively,decreased by 41.8%,30.0% and 35.0% respectively in comparison with 1990,and the annual reduction rates were 5.3%,3.5% and 4.2% respectively during the past 10 years. The mortality of tuberculosis and pulmonary tuberculosis was 24/ 100 000 and 22/100 000, respectively, decreased by 20.0% and 12.0% respectively in comparison with 1990. The prevalence of tuberculosis in minority area and mountainous area were higher than that in city, countryside and hills. 71% of infectious patients were newly detected,33.3% of which were re-treatment cases. The economic status was found the key factor affecting the implementation of tuberculosis control. Conclusions The modern tuberculosis control strategy,which mainly targeted infectious patients and advocated DOTS policy,is the guarantee of sustainable development of tuberculosis control, though the prevalence of pulmonary tuberculosis decreased slowly in Sichuan during the past 10 years.

关 键 词：结核病 流行病学 预防 控制 四川 

分 类 号：R181.3[医药卫生—流行病学]