日照市2002--2011年结核病流行特征及治疗效果分析

目的 了解日照市《关于印发日照市结核病防治规划的通知（2001-2010年）》（简称《规划》）实施情况，分析结核病流行特征及治疗效果。 方法 日照市2002-2011年间全市总人口为28 189 894人，以结核病管理信息系统及相关统计报表数据为来源，对日照市结核病疫情、流行特征、治疗效果进行分析。 结果 2002-2011年登记患病率为44.34/10万(12 499/28 189 894),新涂阳登记率24.28/10万(6844/28 189 894)；男∶女＝2.51∶1；登记患病率年龄组分布前三位分别为15～岁组18.11%(2263/12 499)，55～岁组16.84%(2105/12 499)和45～岁组16.55% (2069/12 499)；职业分布以农民为主，占78.92%(9864/12 499)；各区县登记率患病率不平衡，东港区为43.84/10万(5270/12 021 948)，莒县为37.21/10万(4118/11 067 974)，五莲县为61.00/10万(3111/5 099 972)。新涂阳患者强化期结束痰菌阴转率为96.27%(6589/6844)；复治涂阳患者强化期结束痰菌阴转率为92.74％(830/895)，涂阳患者平均治愈率为95.54%(7394/7739)。 结论 日照市《规划》实施后，结核病疫情得到了有效控制，登记率有了显著提高，涂阳患者治愈率达到并超过了《规划》要求。

Analysis on tuberculosis epidemic characteristics and treatment outcomes in Rizhao city in 2002 to 2011

Objective To learn the implementation effect of Notice on Issuing Rizhao Tuberculosis Control Pro- gram （2001--2010） （RTCP in short）, and to analyze tuberculosis （TB） epidemic characteristics and treatment out- comes. Methods The total population of Rizhao city was 28 189 894 during 2002--2011. Data came from TB In- formation Management System and relevant statistic reports. TB prevalence, characteristic and treatment outcomes in Rizhao city were analyzed. Results During 2002--2011, the registration rates of active and new sputum smear positive （SS＋） pulmonary rib cases were 44. 34/100 000 （12 499/28 189 894） and 24. 28/100 000 （6844/28 189 894）. The ratio of male to female was 2.51 ： 1. The age group of 15-- years old accounted for 18.11% （2263/12 499）, 55-- age group accounted for 16.84%（2105/12 499）, and 45-- age group accounted for 16.55% （2069/12 499）. The occupational of farmer accounted for 78. 92% （9864/12 499）. The registration rates were different among coun- ties, Donggang was 43.84/100 000 （5270/12 021 948） ,Juxian was 7. 21/100 000 （4118/11 067 974）, and Wulian was 61.00/100 000 （3111/5 099 972）. Sputum conversion rates of new and retreatment SS＋TB cases were 96.27% （6589/6844） and 92.74% （830/895） at the end of initial phase. The average cure rate of SS＋TB cases was 95.54% （7394/7739）. Conclusion Since the implementation of RTCP, TB prevalence has been controlled effec- tively, rib registration rate has increased significantly and the cure rate of SS＋TB cases has achieved and exceeded the requirement of RTCP.