2005-2012年南京市浦口区肺结核病监测结果分析

Monitoring Results of Pulmonary Tuberculosis in Pukou District of Nanjing City,2005-2012

目的分析南京市浦口区2005-2012年肺结核病监测情况,评价DOTS策略实施效果。方法对2005-2012年中国疾病预防控制系统/结核病管理信息系统相关数据,进行描述性统计分析。结果 2005-2012年共新登记活动性肺结核病例2 428例,年均报告发病率为55.49/10万,死亡39例,年均死亡率为0.89/10万。其中新涂阳病例1 036例,年均报告发病率为24.00/10万,死亡29例,年均死亡率为0.66/10万。肺结核病发病率及新涂阳发病率总体呈下降趋势。肺结核病死亡率及新涂阳病例死亡率呈显著下降趋势,2012年较2005年分别下降了59.02%和58.54%。新涂阳病例平均治愈率为94.88%,各年度间的治愈率无明显差异。结论浦口区近年来肺结核病防治工作效果显著,疫情得到初步控制。还需进一步落实DOTS策略,有针对性的开展健康促进,降低发病率,提高治疗管理水平,加强儿童结核病防控工作。

Objective To analyze the monitoring results of the pulmonary tuberculosis （TB） in Pukou district during 2005 -2012, and to evaluate the implementation effect of Directly -Observed Treatment Strategy （DOTS）. Methods Data of TB were collected from Tuberculosis management information system of China dis- ease prevention and control system and were statistically analyzed. Results During the period, a total of 2428 cases of active rib annual were registered, with an annual average incidence rate 55.49/105. Of which, 39 cases died, with the average annual mortality rate of 0. 89/105. There were 1036 new smear positive cases, and the average annual incidence rate was 24.00/105 ; 29 cases of which died, with the average annual mor- tality rate of 0. 66/105. The incidence of TB and incidence of new smear positive decreased as a whole in the period. The fatality rate of TB and new smear positive TB decreased significantly, by up to 59.02% and 58.54% in 2012 than in 2005, respectively. The average cure rate of new smear positive case was 94. 88% , with no statistical difference among the years. Conclusion The TB prevention and control effect is obvious in Pukou district, and the epidemic has been initially controlled. Further implementation of ithe DOTS is needed and targeted health promotion should be carried out to lower the incidence. The management level should be improved and prevention and control work in children are yet be reinforced as well.