摘要
目的 了解全省的结核病疫情动态 ,评价防治措施的效果 ,为制定 2 0 0 1～ 2 0 10年结核病防治规划提供科学依据。方法 对 0～ 14岁儿童进行结核菌素试验同时查验卡痕 ,对≥ 15岁人群和结核菌素反应阳性的儿童进行胸透 ,对胸透异常者进行摄片、痰涂片、培养和药敏试验 ,对两个点进行全人口感染率调查 ,全部点进行死亡回顾调查 ,同时对患者进行社会经济状况调查。结果 受检率均达 95 %以上。活动性肺结核患病率为 5 12 / 10万、菌阳肺结核患病率为 146 / 10万、涂阳肺结核患病率为 12 1/ 10万 ,与 1979年相比活动性肺结核患病率年递降率为 3 2 % ,涂阳患病率年递降率为2 0 % ,与 1990年相比年递降率分别为 1 5 %和 0。农村患病率下降非常缓慢 ,城市患病率有所回升。结论 全省的结核病疫情居高不下 ,应引起各级政府的高度重视 ,加大对结核病防治工作的经济投入 ,加大执法力度 。
Objective To investigate the epidemiological trend of tuberculosis, to evaluate the efficacy of control measures and to provide scientific evidence for provincial 2001～2010 tuberculosis control programme. Methods Tuberculin testing was carried out and BCG scar was examined among 0～14 years old children; fluroscopy was carried out for ≥15 years old population and children of tuberculin testing positive; chest X-ray film, sputum smear and culture, drug sensitivity test were done for the patients of fluroscopy abnormal; the survey of tuberculosis infection rate for all population was carried out in 2 investigation points;a retrospective study of tuberculosis mortality was conducted at all investigation points; social economic study was done for the active pulmonary tuberculosis cases. Results The overall examination rate was more than 95%. The prevalence of active pulmonary tuberculosis was 512/100 000, the prevalance of smear positive pulmonary tuberculosis was 121/ 100 000 and the prevalence of bacteriological positive pulmonary tuberculosis was 146/100 000. In comparison with 1979, the annual reduction rates were 3.2% for the prevalence of active pulmonary tuberculosis and 2.0% for the prevalence of smear positive pulmonary tuberculosis.In comparison with 1990, the annual reduction rates were 1.49% and 0,respectively. The prevalence increased slightly in city and decreased slowly in countryside. Conclusions The smear positive prevalence has not decreased since 1990. The governments at different levels must pay more attention to tuberculosis control programme, increase the budget,strengthen law management, implement DOTS strategy.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2002年第1期8-11,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
结核病
流行病学
预防
控制
黑龙江
Tuberculosis
Epidemiology
Prevention and control
