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目的 评价现行结核病控制对策实施效果 ,为制定结核病控制规划和对策提供科学依据。方法 于 2 0 0 0年进行了结核病流行病学抽样调查 ,对所获资料进行分析并与 1990年进行了比较。结果 2 0 0 0年肺结核患病率、菌阳患病率和涂阳患病率分别为 5 44 / 10万、2 5 0 / 10万和 144 / 10万 ,分别较 1990年下降 41 8%、30 0 %和 35 0 % ,年均递降率分别为 5 3%、3 5 %和 4 2 %。结核病和肺结核的死亡率分别为 2 4/ 10万和 2 2 / 10万 ,分别较 1990年下降 2 0 0 %和 12 0 %。民族地区、山区的疫情高于城市、农村、平原和丘陵地区。71%的传染性患者未被发现 ,复治患者比例高达 33 3%。经济状况是影响结核病控制的主要因素。结论 过去的 10年间结核病疫情下降缓慢 ,但以控制传染源为重点、全面推行DOTS的现代结核病控制策略是结核病控制可持续发展的保证
Objective To evaluate the implementation effect of current TB control strategies and provide a scientific basis for formulating TB control programs and countermeasures. Methods An epidemiological sampling of tuberculosis was conducted in 2000. The data obtained were analyzed and compared with those of 1990. Results The prevalence rate of tuberculosis, prevalence of smear-positive disease and prevalence of smear-positive prevalence in 2000 were respectively 5 44/10 million, 250/100 000 and 144/10 100 000 respectively, down 41 8% from 1990 respectively , 30 0% and 35 0%, respectively. The annual average decreasing rates were 53%, 35% and 42% respectively. Mortality rates of tuberculosis and tuberculosis were 24,000 and 22,000 respectively, a decrease of 200 and 120% respectively over 1990 levels. In ethnic areas, outbreaks in mountainous areas were higher than in urban areas, rural areas, plains and hilly areas. Seventy-one percent of infectious patients were undetected, with 33.3% of retreatment patients. Economic status is a major factor affecting tuberculosis control. Conclusion The TB epidemic slowed down slowly in the past 10 years. However, with the focus on controlling the source of infection, the full implementation of DOTS’s modern TB control strategy is the guarantee of sustainable TB control