1992～2001年全国肺结核病人登记情况分析及评价

Analysis and evaluation on register of tuberculosis patients of China in 1992-2001

目的:通过分析1992～2001年中国结核病人登记情况,回顾评价过往十年结核病控制工作进展。方法:回顾性分析1992～2001年卫统14肺结核病人年报表资料。结果:活动性肺结核病人登记率在十年间呈上升趋势,最低为1992年的28.72/10万,最高为2000年的40.26/10万,新涂阳登记率和涂阳登记率,在十年间均呈上升趋势,最低为1992年的7.83/10万和8.54/10万,最高为1998年的19.40/10万和20.81/10万;全国新发涂阳病人治愈率逐年上升,治愈率最低为1992年的81.02%,最高为1999年的95.63%。结论:以DOTS策略作为主要干预措施的卫V项目的实施是1992～2001年全国发现结核病人数逐步上升的主要保证;鉴于卫V项目的经验教训,在新的规划开展过程中应该重视可持续发展机制的贯彻。

Objective：To review and evaluation TB control in past 10 years,through anslyzing the data of TB case notification from 1992 to 2001. Method：To retrospectively analyze the yearly report of pulmonary tuberculosis from 1992 to 2001. Resuh：The notifieation rate of active pulmonary tuberculosis was increasing in past 10 years, the lowest was 28.72/100000 on 1992, the highest was 40.26/100000 on 2000;the notification rate of new smear positive tuberculosis and smear positive tuberculosis was increasing in past 10 years, the lowest was 7.83/ 1000000,8.54/100000 in 1992, the highest was 19.40/100000,20.81/100000 ; the cure rate of the new smear positive tuberculosis was increasing year after year, the lowest was 81.02 % on 1992, the highest was 95.63% on 1999. Conclusion ：The reason that the tuberculosis patient number was increasing year after year from 1992 to 2001 is implementing the health V TB project,with DOTS strategy as main intervention;From the lesson taught by the health V TB project experience,sustaining development mechanism should be taken into account when implementing new National TB Progrmme.