新疆乌鲁木齐市新市区辖区结核病流行分析

Epidemiological Analysis of Tuberculosis in Xinshi District,Urumqi

目的本文通过分析1993～2006年乌鲁木齐市新市区辖区结核病控制项目运转资料,探讨项目实施以来结核病人分布、转归情况,积极探索问题所在,为结核病控制项目的推广提供依据。方法收集新市区疾病预防控制中心结核病防治门诊的结核病项目资料,进行整理与分析。结果结核病控制项目推广后,结核病的发病率仍然呈逐年上升趋势,男性高发,维吾尔族高发;但结核病人的归口管理工作维持稳定的较好的水平,在卫生人员和病人的配合下,"DOTS"策略的实施使得病人的初治阳性治愈率和复治阳性治愈率较高。结论推行技术后,结核病不是依靠一个项目就能够解决的问题,强致病性变异菌株的及时发现和研究、全民预防意识的提高、社会的支持等各方面都起着不同程度的作用;结果也提示引起结核病疫情的上升的因素与结核病控制项目实施的有效性无关,其原因有待于进一步研究。

Objective To discuss the distribution and turn over of patients with tuberculosis, and positively to explore the problem since the project implementation by analyzing data of running project of tuberculosis control in Xinshi District of Urumqi from 1993 to 2006, so as to provide basis for generalization of the project. Methods The data of the project from the clinic of tuberculosis control of Xinshi Center for Disease Control and Prevention were collected and analyzed. Results After spreading the project of tuberculosis control, the morbidity of tuberculosis showed increase tendency year by year with the high incidence in male and Uygur people. But the centralized management kept steadily. Under the coordination of medical member and patients, the implementation of DOT made high cure rates of positive in initial treatment and positive in retreatment. Conclusions After carrying out DOTS, many factors play different roles in tuberculosis control such as the timely discovery and research of powerful pathogenic variant strains, the preventive consciousness of the entire people, social support and so on. The results suggest that the factor causing tuberculosis increase have nothing to do with the validity of the implementation of tuberculosis control project. So, the real reason needs to be researched further.