长春市2001年结核病流行病学调查报告

目的　了解长春市结核病的流行情况及危害程度、评价防治措施效果,为制定2001—2010年结核病防治规划提供科学依据。方法 采取分层整群随机抽样方法。长春地区为等比例抽样,共设52个调查点,对已知活动性肺结核病人、可疑症状者及有密切接触史者进行胸透、痰涂片检查;对肺部有异常阴影者、咳嗽、咳痰≥3周或咯血者摄胸片。结果 长春市肺结核病患病率250.71/10万,涂阳患病率99.53/10万,肺结核死亡率22.61/10万。结论 长春市结核病疫情下降缓慢,肺结核仍是严重阻碍社会经济发展及危害人民身体健康的疾病之一,应引起各级政府的高度重视,加大归口管理力度,全面落实DOTS策略。

Report on tuberculosis epidemiology survey in 2001 of Changchun city

Objective To determine tuberculosis epide miologica l situation,evaluate the effects of tuberculosis control in the past and provide scientific bases for developing the Tuberculosis Control Programme from 2001 to 2010.Methods 52 investigative clusters were selected by multi -stratified grouping random sampling methods that with proportional sampling.Fl uoroscopy and smear examinations were provided to known active TB patients,TB sy mptomatic and close contacts of TB cases.X-ray film was taken for that with abn ormal shadows results of fluoroscopy and TB symptomatic with cough and expectora tion more than 3 weeks and/or haemoptysis.Results The prevalence rate of active pulmonary tuberculosis ra te was 250.71/100,000.The prevalence rate of smear positive cases was 99.5/100,0 00.The tuberculosis mortality was 22.6/100,000 in Changchun City.Conclusion The prevalence rate declined slowly in Changchun cit y.Tuberculosis remaining the disease that impact on the developments of the soci al-economic and the health of the public.The problem should be paid great atten tion by governments at different levels,the referral system should be strengthen ed and DOTS strategy should be implemented fully.