福建省结核病监测点1995—2002年儿童结核病流行趋势与控制效果分析

Analysis on Epidemiological Trend and Tuberculosis Control Effect for children in Fujian Surveillance Points (1995—2002)

[目的 ]分析 1995— 2 0 0 2年福建省 2个全国结核病监测点儿童结核病流行趋势与控制效果。[方法 ]根据监测方案对监测点年报表、病历资料及有关项目进行统计分析。 [结果 ] 0～ 4岁儿童肺结核新登记率保持在 3 / 10万以下 ,儿童结脑发病率连续 9年为 0 ,新生儿卡介苗 (BCG )接种率平均为 96 5 %,12周阳转率 86 8%,涂阳病人治愈率达95 7%,患者就诊延迟在 2 0 %左右 ,但医务人员发现延迟基本保持在 4%以下。 [结论 ]控制传染源与婴幼儿接种BCG是控制儿童结核病的关键。患者及时发现 ,就诊延迟减少 ,可减少对密切接触者的传染。建议在疫情重的地区开展卡介苗复种 。

To analyze the epidemiological trend and tuberculosis (TB) control effect for children in Fujian two surveillance points from 1995 to 2002 \ Annual report data, medical records and so on were analyzed according to national surveillance program \ The new registered rate was lower than 3/105 for aged 0～4 No TB meni ngitis case found continuously for 9 years The average rate of neonatal BCG vaccination was 96 5% The positive rate 12 weeks later was 86 8% The cure rate of smear positive patients reached to 95 7% The case finding delay was about 20%, and medical workers delay below 4% \ The control of infection sources and BCG vaccination are key measures for TB control Finding TB cases early and reducing diagnosis delay will decrease the infection rate of close contacts It is suggested that the children should be received the BCG vaccination in the high incidence area