新疆昌吉市涂阳肺结核病人发现率及控制效果分析

Analysis on Detection Rate and Control Effect of Smear-positive Tuberculosis in Changji City of Xinjiang

目的了解新疆昌吉市2003—2010年发现、登记、治疗涂阳肺结核病例达标情况。方法收集2003—2010年昌吉市疾病预防控制中心登记、治疗、管理的涂阳肺结核病例的信息,用描述流行病学方法进行分析。结果 2003—2008年涂阳肺结核发现率均超过70%,2005年最高达92.41%;自2009年以来发现率(32.47/10万)明显下降,较往年发现率最低的2008年(77.56/10万)下降58.14%,两者差异有统计学意义(χ2=63.72,P<0.01)。新发涂阳肺结核治愈率平均为77.67%;2004年最高85.50%,2007年最低69.17%;治疗失败、死亡、丢失、迁出、药物不良反应及其他等病例占22.33%,其中治疗失败率为3.96%。结论若将迁出和丢失的病例除外,该市涂阳肺结核病例平均治愈率(86.15%)已达到国家规定。

[Objective]To understand the reaching standard situation of detection,registration and treatment of smear-positive tuberculosis in Changji city of Xinjiang during 2003-2010. [Methods]The data of detection,registration and treatment of smear-positive tuberculosis in Changji Center for Disease Control and Prevention from 2003 to 2010 were collected,and were analyzed with descriptive epidemiology method. [Results]During 2003—2008,the annual detection rate of smear-positive tuberculosis all exceeded 70%,and that in 2005 was the highest（92.41%）.The detection rate have significantly decreased since 2009（32.47/lakh）,which decreased by 58.14% compared with 2008 that was the lowest detection rate（77.56/lakh）,and the difference was significant（χ2= 63.72,P0.01）.The average cure rate of new smear-positive tuberculosis was 77.67%,the highest was 85.50% in 2004,and the lowest was 69.17% in 2007.The cases of treatment failure,death,losing follow-up,emigration and adverse drug reaction accounted for 22.33%,and the treatment failure rate was 3.96%. [Conclusion]Except the cases of emigration and losing follow-up,the average cure rate of smear-positive tuberculosis in this city（86.15%） have reached the national standard.