2005～2010年安顺市结核病人管理情况分析

Analysis on the Management of Tuberculosis Patients in Anshun City,2005-2010

[目的]探讨安顺市结核病防治工作中存在的问题,寻找解决措施。[方法]对2005～2010年安顺市肺结核病例资料进行分析。[结果]2005～2010年,合计发现肺结核病例17 752例,其中涂阳病例7 327例,占41.27%,涂阳肺结核病人登记率为49.12/10万。2005～2010年合计接诊可疑症状者27 124例,因症主动就诊占45.58%,转诊占21.87%、追踪占26.59%、因病推荐占2.23%。合计查痰17 752例,查痰率为65.45%,初治涂阳病例2月末、3月末的痰菌阴转率分别为96.25%、87.73%,复治涂阳病例2月末、3月末的痰菌阴转率分别为92.09%、93.91%;17 752例病人中,治愈12 987例,治愈率为73.16%,其中初治涂阳治愈率为72.55%,复治涂阳治愈率为79.44%(P<0.01),活动性肺结核、初治涂阳病例及复治涂阳病例治愈率呈逐年上升趋势。[结论]2005～2007年安顺市肺结核病例发现呈上升趋势,2008年后呈下降趋势。

[Objective]To explore the problems of prevention and cure of TB and look for measures. [Methods]Analysis was made on the tuberculosis cases in Anshun city during 2005-2010. [Results]During 2005-2010,a total of 17 752 cases of tuberculosis were found,smear positive cases of 7 327 （41.27%）,registration rate of smear positive cases of tuberculosis patients was 49.12/10^5. 27 124 cases of TB suspects were registered,2005-2010,the cases seeking treatment due to illness accounted for 45.58% ,the referral accounted for 21.87% ,follow-up accounted for 26.59%, recommendance because of TB accounted for 2.23 %; 17 752 cases were given sputum examination, the rate of newly diagnosed sputum examination was 65.45%,the conversion rate of after 2 months and after 3 months was 96.25% and 87.73% respectively in new smear positive cases,the conversion rate of 2 months end and 3 months end was 92.09 % and 93.91% in retreated smear positive cases. 12 987 cases were cured among 17 752 TB cases,the cure rate was 73.16% ,the cure rate of new smear positive was 72.55% ,the cure rate of retreated smear positive case was 79.44% （ P 〈0.01）. The cure rate of TB,new smear positive case, retreated smear positive case increased year by year.[Conclusion]The tuberculosis cases are increasing, 2005- 2007,with a downward trend after 2008.