2000-2005年北京市流动人口菌阳肺结核控制情况分析

Analysis on Bacteriological Positive Pulmonary Tuberculosis Control Status of Floating Population in Beijing(2000-2005)

目的分析近6年来北京市流动人口中肺结核病人的发现、治疗、管理情况及效果。方法选2000—2005年在北京市登记的流动人口痰结核菌阳性（菌阳）肺结核病例，就其药品免费治疗前（2000—2002年）及药品免费治疗后（2003—2005年）的病人发现、报告、登记和管理水平作对比分析。结果2691例菌阳肺结核病例中16～35岁患者占76．1％。从事重体力务工者占42．1％。患者来自30个省市。90．6％的患者通过“因症就诊”方式发现，9％由就业前体检发现。免费药品治疗后，患者的登记病例数增加约35％，接受全程督导治疗管理（DOTS）比例提高14个百分点，治疗成功率提高13．5个百分点。结论就业前体检，是检出结核病的重要环节。流动人口中的青壮年重体力务工者，是结核病防控的重点。免费药品治疗可以提高病人的发现率与治愈率。

Objective To analyze the situation of patients＇ detecting, free drug treatment and management of floating population in Beijing from 2000 to 2005. Methods New registered bacteriological positive pulmonary tuberculosis cases in floating population of Beijing in 2000 - 2005 were investigated. The situations of cases＇ founding, report, register and management before and after the free chemical therapy were compared. Results The number of 16 - 35 year-old patients was the largest among the 2 691 cases, which occupied76.1%. 90.6% of cases were detected through clinical consultation means. 9% of cases were detected through medical examination before employment. After the free drug treatment, the number of cases increased 35% than before. The percentage of patients who accept DOTS increased 14%. The successful cure ratio increased 13.5%. Conclusion The medical examination before employment was important to case detecting among floating population. Young labors in floating population are emphasis for TB control. Free drug therapy can improve the case detecting and success ratio of cure in floating population.