摘要
目的分析黔东南州实施中国结核病控制项目对肺结核报告的影响。方法对黔东南州结核病防治工作进行回顾总结以及2002—2004年推广实施中国结核病控制项目期间肺结核疫情报告和项目工作报表等资料进行分析。结果黔东南州推广实施中国结核病控制项目期间,涂阳肺结核报病率逐年提高,从2002年的4.84/10万提高到2004年的25.37/10万。肺结核报病率增加不明显,2003年较2002年增加22.0%,2004年较2003年反而下降4.7%。涂阳肺结核报病率提高主要是由项目县查痰率提高决定的。20022、003年项目县报告肺结核病人查痰率分别为60%、35.9%,明显高于非项目县,分别为6.3%、5.8%,有显著性差异(P<0.01)。2002年、2003年项目县肺结核报病率分别为132.7/10万和165.3/10万,明显高于非项目县,分别为109.6/10万和89.4/10万,(P<0.05)。项目县肺结核报病率和涂阳肺结核报病率高于结防机构肺结核报病率和涂阳肺结核新登记率。结论黔东南州实施中国结核病控制项目对肺结核的报告产生了积极作用,主要表现在报告肺结核的查痰率和涂阳肺结核的报告率逐年提高,但是结核病归口管理和肺结核报告工作有待进一步规范和加强,以便更好地促进黔东南州结核病控制工作。
Objective To analyse the influence of Chinese Tuberculosis Control Project（CTCP） on pulmonary tuberculosis report. Methods The progress of tuberculosis prevention and control in Qiandongnan, was reviewed and the data of pulmonary tuberculosis reports and project work report of CTCP during 2002 to 2004 in Qiandongnan were analyzed. Results The smear-positive pulmonary tuberculosis reporting rate has increased annually from 4.84/100 000 in 2002 to 25.37/100 000 in 2004 since CTCP was conducted in Qiandongnan. Pulmonary tuberculosis reporting rate did not increase substantially, which was 22.0% higher in 2003 compared with it in 2002, but was 4.7 % lower in 2004 lower compared it in 2003. The increase of smear-positive pulmonary tuberculosis reporting rate was due to the increase of sputum examination rate in the project counties. The sputum examination rate in project counties was 60% and 35.9% in 2002 and 2003 respectively, which was significantly higher than the level of 6.3% and 5.8% in the non-project counties in 2002 and 2003 （ P 〈 0.01 ）. The pulmonary tuberculosis reporting rate in project counties was 132.7/100 000 and 165,3/100 000 in 2002 and 2003, significantly higher than the level of 109.6/100 000 and 89.4/100 000 in the non-project counties in 2002 and 2003 （ P 〈 0.05）. The pulmonary tuberculosis reporting rate and smear-positive pulmonary tuberculosis reporting rate were higher in the project counties than the pulmonary tuberculosis reporting rate and notification of smear positive tuherculosi in the TB dispensary. Conclusion CTCP has positive effect on pulmonary tuberculosis reporting in Qiandongnan, with the annual increase in smear-positive pulmonary tuberculosis reporting rate and smear-positive pulmonary tuberculosis strengthened to improve the tuberculosis reporting rate. Howver, the referral and reporting should be further control in Qiandongnan .
出处
《中国防痨杂志》
CAS
2006年第5期278-280,共3页
Chinese Journal of Antituberculosis
关键词
结核
肺/预防和控制
Pulmonary tuberculosis/prevention and control
