上海市外来人员肺结核病分布与临床特征

The status of pulmonary tuberculosis among mobile population in Shanghai

目的：了解上海市外来人口中肺结核病人的分布和临床特征。方法：对1996年1～12月全市外来人口活动性肺结核病报告登记资料进行分析。结果：外来人员肺结核病人总数达2279人，青壮年占总病例65％以上；男性病例为主；主要来源于江苏、浙江、安徽、四川、江西等省；登记病人来沪暂居地主要集中在市区及城乡地区，外来人口结核病管理重点在市区及城乡地区。病人分型以Ⅲ型为主。查痰率仅60．1％，但排菌率高达40％。外来人。的病例发现工作及治疗管理难度较大，目前登记病例规则化疗仅占10．4％。结论：有必要通过有关部门的共同协作，拟定切实可行的外来人口结核病管理办法。

To understand the characteristics of distribution and the seriousness of pulmonaryTB in mobile population in Shanghai. Methods: The analysis was conducted based upon the TB managementregistration materials. Results: There were 2279 registered active TB cases who were not local residents in1996. Young and middle aged patients accounted for 65 % and there were more cases in male. Most cases resided in urban area and outskirts. Infiltration type were more common. Those who had bacillary examinationrecords only accounted for 60. 1 %, but the bacillary positive rate reached 40 %. Only 10. 4 % of the registeredcases stuck to standardized chemotherapy. The findings lead to the estimation of burdens of TB in .the specifiedgroup and threats against future TB epidemiological situation in Shanghai. Conclusion: The case- finding andcase- holding of TB in the target group was not satisfactory. Enforced and coordinated action should be takento lessen the problems of TB in the population.