南京市结核病流行病学调查分析

Epidemiological survey and analysis on tuberculosis in Nanjing

目的 调查 2 0 0 0年～ 2 0 0 1年南京市人群结核病患病率、儿童结核免疫水平、死亡率 ;并对近年来南京市结核病防制规划执行情况和结核病项目实施效果进行评价 ;了解南京市结核病的流行状况和人群危害程度 ,为制订未来几年南京市结核病预防控制规划提供科学依据。方法 采用分层整群随机抽样方法 ,在南京市江宁区农村、溧水县农村、鼓楼区、六合县农村、浦口区城郊共抽样调查 80 51人。结果 南京市结核病患病率为 52 2 .4/ 1 0万 ;肺结核患病率为 50 9 6/ 1 0万 ,男女比为2 33∶1 ,涂阳患病率为 2 1 6 6/ 1 0万 ,菌阳患病率为 2 93 0 / 1 0万 ,空洞性患病率为 63 7/ 1 0万 ;儿童结核菌素试验 (PPD)阴性反应为 69 2 % ,强阳性反应为 1 2 8% ;死亡率为 1 2 2 / 1 0万 ;62 5 %的肺结核病人为本次流调新发现 ,已知肺结核病人的治疗管理率为 53 3 %。结论 本次调查初步了解了南京市结核病的流行情况 。

Objective To survey prevalence rate,childhood immunoreactivity,mortality,preventive and therapeutic methods on tuberculosis in Nanjing to provide a basic consideration for preventive and therapeutic policies for control of tuberculosis.Methods Using uniform scheme,procedures and questionaire,performing stratified cluster random sampling survey for the population in five areas,a total of 8*!051 persons were investigated;all the original data were put into computer,and then were statistically analyzed with specific program.Results In this survey,the tuberculosis prevalence rate was 0 5224%;the pulmonary tuberculosis prevalence rate was 0 5096%,the ratio of male to female was 2 33∶1;the PPD negative reaction rate was 69 2%,the PPD strong positive reaction rate was 12 8%;the mortality was 0 0122%;62 5% of pulmonary tuberculosis cases were found in this survey,only the 53 3% treatment of known patients was managed.Conclusion This survey had basically reflected the epidemiological characteristics on tuberculosis in Nanjing.The relevant data will provide the basis for work concerned and government policy on control of tuberculosis in Nanjing.