上海市精神病伴发肺结核患者的临床流行病学特征

Epidemiological characteristics of psychosis patients complicated with tuberculosis in Shanghai

[目的 ] 了解上海市精神病伴发肺结核的流行病学趋势及特征。 [方法 ] 统计 1993～ 2 0 0 0年全市新登记肺结核患者中精神病伴发肺结核患者的构成比和新登记率。 [结果 ] 精神病伴发肺结核患者新登记率从 1993年的 0 .1/10万上升至 2 0 0 0年的 0 .2 9/10万 ,年递增 16.43 %。占患者总数的构成比从 0 .2 6%上升至 0 .74%。地区间存在差异 ,构成比和新登记率市区高于郊区。 3 0～ 5 0岁年龄段精神病伴发肺结核比例最高 ,男性高于女性。精神病伴发肺结核患者的痰菌阳性率达 5 8.97% ,Ⅲ型患者比例为 82 .0 5 % ,Ⅳ型占 2 .0 5 %。 [结论 ] 精神病对上海市结核病疫情有一定影响 ,应加强对精神病伴发肺结核的及时诊断 ,开展针对性的短程化疗研究。

To understand the epidemiological trends and characteristics of psychosis patients complicated with tuberculosis in Shanghai. All the registered tuberculosis(TB) cases from 1993 to 2000 in Shanghai were included in the analysis. The new registration rates and percentages of psychosis cases complicated with TB were calculated. The new registration rate of the cases increased from 0.1/100,000 in 1993 to 0.29/100,000 in 2000 with an annual increase rate of 16.43%. The cases with the complication accounted for 0.74% in 2000. Psychosis tends to be more prevalent among TB patients in urban area. Among 30～50 years old psychosis patients, the percentage of TB was the highest. A significant difference was also observed between sex male higher than that of female. Bacillary positive rate was higher in cases with the complication. [Conclusion] The complication of psychosis affected the epidemiological trend of TB in Shanghai. The diagnosis of psychosis in TB patients should be enforced, and short-course chemotherapy targeting the cases should be investigated.