广东省结核病疫情流行状况分析

Analysis on the epidemic situation of tuberculosis in Guangdong province

目的 通过分析广东省结核病疫情 ,探讨广东省结核病控制的进一步措施。方法 利用1979年、1990年和 2 0 0 0年 3次结核病流调资料和世行贷款结控项目资料分析广东省结核病疫情流行状况及趋势。结果 3次结核病流调患病率分别为 86 2 .87/ 10万、4 93.4 3/ 10万、35 1.74 / 10万 ,涂阳患病率分别为 2 32 .89/ 10万、111.84 / 10万、10 6 .75 / 10万。 1992年实施世界银行贷款结核病控制项目以来 ,结核病新登记率和涂阳新登记率逐年提高。治疗满疗程的涂阳病人治愈率逐年提高 ,达到85 %以上。结论 广东省结核病疫情呈下降趋势。随着现代结核病控制策略的应用 ,采用DOTS策略 ,抓好流动人口的结核病发现和管理 ,控制耐药病例的产生 ,才能有效地控制结核病疫情的流行。

Objective To explore the methods for tuberculosis control in Guangdong province.Methods To analyze the epidemic situation of tuberculosis using the results of the last three epidemiologic sampling survey for tuberculosis and the data from tuberculosis control project loaned by the World Bank.Results The prevalence of active and smear positive tuberculosis were 862.87/100?000 and 232.89/100?000 respectively in 1979,493.43/100?000 and 111.84/100?000 respectively in 1990,351.74/100?000 and 106.75/100?000 in 2000.The notification rates of active tuberculosis and smear positive tuberculosis raised during the tuberculosis control project,that implementing from 1992.The cure rate of smear positive tuberculosis also increased up to 85% during the project.Conclusion The tuberculosis prevalence decreased significantly.In order to control tuberculosis,the most important methods are to implement the modern tuberculosis control strategies (DOTS),to improve the detection and management for tuberculosis in the floating population,and to limite the production of MDR-TB cases.