1993年至2000年陕西省结核病监测县工作分析

Analysis of TB Surveillance During 1993 to 2000 in Shaanxi Province

目的:评价陕西省三个监测县结核病控制项目执行效果,对于掌握结核病疫情变化,评价防治措施,制定实施有效的结核病防治规划提供依据。方法:根据项目手册和1993年至2000年三个监测县的结核病监测报表和相关调查资料进行队列分析。结果:肺结核病人新登记率上升,2000年为53.0/10万,涂阳肺结核病人新登记率2000年为12.8/10万。肺结核病人平均死亡年龄增大,2000年为64.3岁,结核病死亡在总死亡中顺位降到17位;病人发现以因症就诊为主,2000年为95.0%,发现平均总延误缩短,2000年为1.33个月,治疗延误缩短到2000年的0.23个月。治愈率由86.5%上升到90.0%。结论:三个监测县实施结核病控制项目8 a取得了显著成就,促进了全省结核病防治工作的可持续发展。

Objective Evaluating the implantation on TB control project in three surveillance counties gives the evidence to understand TB epidemic situation,evaluate prevention and control measures,establish and implementing effective TB prevention and control programme. Methods Group analysis is made on the basis of project handbook, report forms on TB surveillance in three counties during 1993 2000 and concerned surveyed data. Results Newly registered rate for TB was increasing to 53.0/100 000in 2000. Newly registered rate for smear positive TBwas 12.8/ 100 000 in 2000, Average death age for TB patients was increasing,with 64.3 years old in 2000. Death order with TB dropped to 17 in total death order. Patient saw a doctor when symptom was appearing, who were occupying 95.0% in 2000. Average total delayed time was shortening, which was 1.33 months in 2000. Delayed treatment time shortened to 0.23 month in 2000. Cure rate ascended form 86.5%o to 90.0%. Oonclusion TB control project in three surveillance counties made marked achievement during eight years, which promoted sustainability of TB prevention and control in Shaanxi province.