青岛市2000/2001年结核病流行病学抽样调查分析

Analysis on Random Survey for Tuberculosis Epidemiology of Qingdao District in 2000 to 2001

目的了解青岛市结核病疫情及各市区防治现状,为改进防治措施,制定防治规划,提供科学依据。方法采取整群不等比随机抽样,全市调查点9个,按照《第四次全国结核病流行病学抽样调查工作手册》要求进行。结果实检人口14355人,占应检人口的972%;活动性肺结核患病率为20202/10万,涂阳肺结核患病率为2786/10万,较1990年活动性肺结核患病率24203/10万、涂阳肺结核患病率3002/10万年递减率分别为18%、08%。本次流调还显示病人发现率低,漏报率高,漏登率及规律治疗率低,卡介苗接种阳转率低,均影响到疫情的下降。结论青岛市结核病疫情仍较严重,防痨科普知识宣传,DOTS策略,重点人群普查,经费投入、卡介苗接种质量等防治措施有待加强。

Objectives To realize the dynamic status of the epidemiological situation of tuberculosis in District of Qingdao and improve the control measures as well as to provide the scientific basis for the preparation of Tuberculosis Control Program Objectives of District of Qingdao.Methods The multi stratified grouping random sampling method was used and the 9 investigation points was sampled.Results The actual exampled population in the survey was 14355 and accounted for 97 2% of the eligible population.the standardized incidence of active and bacteriological positive pulmonary tuberculosis were 202 02/100000.and 27 86/100000 respectively.the annual reduction rates between 1990 and 2000～2001 for active and smear positive pulmonary tuberculosis were 1 8%,0 8% respectively.Conclusion The epidemiological situation of tuberculosis of District of Qingdao is still very severe.so,propagandizing the knowledge about preventing tuberculosis and DOTs policy need enhanced.in same time,the surveys to the crowds who are prone to tuberculosis and the increased invests must be stressed.