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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 ,全面落实DOTS策略
Objective To understand the dynamic state of TB epidemic in the province and evaluate the effect of prevention and treatment measures, so as to provide a scientific basis for the formulation of tuberculosis prevention and control plan from 2001 to 2010. Methods Tuberculin test was carried out in children aged 0-14 years, and card marks were also examined. Thoracotomy was performed in children ≥15 years old and tuberculin-positive children, and radiography, sputum smear, culture and medicine Sensitive test, the two points of the whole population infection rate survey, all the point of death review, at the same time the patient’s socio-economic status survey. Results of the test rate reached more than 95%. The prevalence of active tuberculosis was 5 12/10 million. The prevalence of bacillary positive pulmonary tuberculosis was 146/10 million. The prevalence of smear positive pulmonary tuberculosis was 12 1/100 000. Compared with 1979, the prevalence of active tuberculosis The rate of descent was 32%. The annual rate of decline of the smear-positive rate was 20%, and the rate of decline was 15% and 0% respectively compared with 1990. The prevalence in rural areas dropped very slowly, with the prevalence rising in the city. Conclusion The high level of tuberculosis in the whole province should be given high priority by all levels of government, increase the economic investment in prevention and treatment of tuberculosis, intensify law enforcement and fully implement the DOTS strategy