天津市2000—2010年监狱羁押人员肺结核控制效果分析  

Effect of tuberculosis control among prisoners in Tianjin,2000- 2010

作　　者：傅衍勇 张国钦[1] 王撷秀[1] 魏文亮[1] 李尚伦[1] 杨震华[2] 孙建平[3] 高雪然 张长有[3] 彭伟[3] 

机构地区：[1]天津市结核病控制中心,300041 [2]美国密歇根大学公共卫生学院 [3]天津市监狱管理局

出　　处：《中国公共卫生》2015年第5期669-672,共4页Chinese Journal of Public Health

摘　　要：目的了解天津市监狱羁押人员实施肺结核控制措施后治疗效果及疫情变化,为监狱系统肺结核防治的进一步开展提供参考依据。方法收集天津市2000—2010年监狱羁押人员肺结核登记数据,分析患者发现、治疗转归情况以及肺结核患病率和登记率。结果天津市2000—2010年监狱系统共确诊肺结核患者1 794例,其中入监体检、普查、因症就诊3种发现方式分别确诊387、935、472例,分别占21.6%、52.1%、26.3%;肺结核患者总的治愈率为87.7%,其中初治涂阳、复治涂阳和涂阴患者治愈率分别为80.2%、63.2%和89.3%;天津市监狱羁押人员肺结核患病率由2000年的2 182.7/10万下降至2010年的361.7/10万,涂阳肺结核患病率由2000年的371.5/10万下降至2010年的23.3/10万,肺结核登记率由2000年的2801.9/10万下降至2010年的735.1/10万,涂阳肺结核登记率由2000年的425.7/10万下降至2010年的46.7/10万。结论主动筛查结合患者督导化疗对天津市监狱羁押人员肺结核疫情的控制具有重要作用。Objective To examine the prevalence trend and treatment outcome of pulmonary tuberculosis（ TB）among prisoners in prison facilities in Tianjin city after the implementation of TB control strategy and to provide a basis for TB control in prison facilities. Methods Data on TB registration from 2000 to 2010 in Tianjin prison facilities were collected. TB case finding,treatment outcome of TB patients,prevalence and registration rate of pulmonary TB were analyzed. Results During the period,totally 1 794 pulmonary TB patients were diagnosed in prison facilities in Tianjin. Of all the patients,the proportions of the cases founded by entry screening,massive screening,and symptom based finding were 21. 6%,52. 1%,and 26. 3%,respectively. The cure rate for all the patients was 87. 7% and the cure rates were80. 2%,63. 2%,and 89. 3% for new smear positive,previously treated smear positive,and smear negative patients,respectively. The prevalence of pulmonary TB in prison facilities in Tianjin dropped from 2 182. 7 /100 000 to 361. 7 /100 000 and the prevalence of smear positive TB dropped from 371. 5 /100 000 to 23. 3 /100 000 from 2000 to 2010; the notification of pulmonary TB and smear positive pulmonary TB also declined from 2 801. 9 /100 000 to 735. 1 /100 000 and from 425. 7 /100 000 to 46. 7 /100 000 during the same period. Conclusion Strategy of active case-finding along with observed treatment short course（ DOTS） achieved notable effect in the control of TB prevalence among prisoners in prison facilities Tianjin.

关 键 词：结核病 控制效果 监狱 羁押人员 

分 类 号：R521[医药卫生—内科学]