山东省莒县2003—2013年登记结核病流行特征及DOTS策略实施效果的评价分析  

Analysis on tuberculosis epidemic characteristics and implementation effect of DOTS strategy in Juxian of Shandong Province during 2003 to 2013

作　　者：钟京明 卢纪绪 宋国强 何乃玲 

机构地区：[1]山东省莒县结核病防治所,276800 [2]山东省日照市结核病防治所

出　　处：《结核病与肺部健康杂志》2015年第2期101-105,共5页Journal of Tuberculosis and Lung Health

摘　　要：目的 了解《莒县结核病防治规划（2001-2010年）》（简称“《莒县规划》”）实施情况,摸清区域人群的结核病发病规律,科学评价《莒县规划》实施情况和DOTS策略的执行效果,为制定完善莒县结核病控制策略及对策提供科学依据.方法 莒县2003-2013年间全县总人口为12 166 055人,以结核病管理信息系统及相关统计报表数据为来源,对莒县2003-2013年登记管理的4481例结核病患者进行登记率、流行病学特征、治疗效果进行分析,并对DOTS效果及社会效益进行评价分析.结果 2003-2013年登记率为36.83/10万（4481/12 166 055）;新涂阳登记率为21.59/10万（2627/12 166 055）;男∶女=2.74∶1;登记率年龄组分布前三位分别为15～岁组[21.36％ （957/4481）]、55～岁组[17.96％（805/4481）]和65～74岁组[15.53％ （696/4481）];职业分布以农民为主,占87.61％ （3926/4481）;新涂阳患者强化期结束痰菌阴转率为98.82％（2596/2627）;复治涂阳患者强化期结束痰菌阴转率为95.91％（211/220）,涂阳患者平均治愈率为95.36％（2715/2847）.避免22 460人感染结核分枝杆菌,避免新发结核病患者2246例,为社会节约医疗费用1 533 765元,为社会挽回损失总价值266 685 094元.结论 莒县积极推行现代结核病控制策略,2003-2013年结核病登记率呈逐年下降趋势,患者治愈率达到并超过了《莒县规划》要求,DOTS策略实施效果显著.Objective To understand the implementation effect of Tuberculosis Control Program （2001- 2010） of Juxian and find out the characteristic of TB incidence, provide scientific basis for TB control strategies in Juxian. Methods The total population is 12 166 055 during 2003-2013 in Juxian. Through TB information management system and relevant statistic reports, we analyzed TB registration rate, epidemiological character and treatment effect of 4481 TB patients registered during 2003 to 2013 of Juxian, and evaluated the effect and social benefit of DOTS strategy. Results During 2003-2013 registration rates of active and new SS＋ pulmonary TB cases were 36.83/105（4481/12 166 055） and 21.59/10s （2627/12 166 055） respectively. The male to female ratio is 2.74 ： 1. In terms of the age distribution, the first three age group is 15- age group which accounted 21.36% （957/4481）, 55- age group which accounted 17.96% （805/4481） and 65-74 age group which accounted 15.53% （696/4481）. In terms of the occupational distribution, the first place is farmer, accounted 87.61% （3926/4481）. Sputum conversion rates of new and retreatment SS＋TB cases were 98.82 % （2596/2627） and 95.91% （211/220）. The average cure rate of SS＋ TB cases was 95. 36% （2715/2847）. It avoided 22 460 people from being infected with Mycobacterium tuberculosis, and avoided 2246 people from active TB, saved medical costs of 1 533 765 Yuan and restore economic losses worth a total of 266 685 094 Yuan for society. Conclusion Modern TB control strategy was promoted actively in Juxian. TB registration rate showed a downward trend during 2003--2013. TB cure rate reached and exceeded the requirement of national TB program. DOTS strategies received significant effect.

关 键 词：结核 肺/预防和控制 直接观察疗法 结果评价(卫生保健) 山东省 

分 类 号：R52[医药卫生—内科学] R181.8[医药卫生—临床医学]