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苏北农村结核病流行及管理状况比较研究

Comparative Study of Tuberculosis Epidemic and Management in Rural Jiangsu Province
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摘要 目的 比较研究苏北农村结核病控制项目县与非项目县结核病的流行状况及管理模式的区别。方法 通过整群抽样调查,选取江苏北部项目县与非项目县各一县为研究对象。收集两县1997—2002年结核病报表资料、会议资料及实施细则等,利用率、比等描述指标进行比较分析。结果1997—2002年项目县新发结核病新登记率低于非项目县,涂阳结核病新登记率项目县高于非项目县,涂阳占新登记病例百分比分别为75.83%和33.70%;两县1997—2002年涂阳肺结核男性多于女性,男女性别比约为2~3:1;两县结核病发现和病人管理模式不同。结论 项目县新发结核病人涂阳比例高于非项目县,痰涂片检查的数量和质量都好于非项目县。强化项目管理有可能进一步提高结核病人的早期发现率。 OBJECTIVE To describe and compare the TB register rate and the percent of smear positive TB in counties with or without TB control project in Rural Jiangsu. METHOD Purposive cluster sampling was used for study setting. Annual reports, meeting and policy documents during 1997 - 2002 collected from the county dispensary were reviewed. Descriptive analysis was used through rates, ratio and proportions. R-ESULTS During 1997 - 2002 , incident TB register rate in project county is higher than non - project county, so does sputum smear positive TB register rate. In both counties, The percenttage of smear positive among incident patients were 75.83% and 33.70% respectively in project and non - project county. The male to female ratio of sputum smear positive TB was 2 - 3:1 . CONCLUSION The percentage of sputum smear positive TB among incident TB was higher in project county than that in non - project county. More sputum smear tests and more qualified sputum smear tests were available in project county. Strengthening TB control project could improve TB case detection rate in Jiangsu Province.
出处 《中国初级卫生保健》 2003年第7期16-18,共3页 Chinese Primary Health Care
关键词 苏北农村 结核病 管理状况 比较研究 流行病学 tuberculosis, TB control project, sputum smear positive TB
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