2001-2015年新疆克拉玛依市结核病防治效果分析

目的 分析克拉玛依市结核病防治工作效果，为今后开展执行结核病防治工作提供借鉴。方法 对2001-2015年全市结核病初诊患者登记簿，肺结核患者登记簿和《全国结核病管理信息系统》中的结核病流行病数据进行收集与分析。结果 2001-2015年共发现活动性肺结核患者2 340例，其中涂阳肺结核患者1 217例、涂阴肺结核患者1 123例，活动性肺结核患者登记率总体呈下降趋势（P=0.001）；新涂阳肺结核患者平均治愈率为93.63%，达到国家要求的85.00%以上；减少因结核病死亡病例587例，避免了986例新发结核病病例，减少医疗费用75.11万元，挽回社会经济价值14.28亿元。结论 克拉玛依市结核病疫情维持在较低水平，但治疗管理、追踪到位率等指标有待进一步提高。

Effectiveness of tuberculosis prevention and treatment in Karamay,Xinjiang, 2001-2015

Objective To understand the effectiveness of tuberculosis (TB) prevention and control in Karamay,Xinjiang Autonomous Region,from 2001 to 2015,and provide evidence for the TB prevention and treatment in the future.Methods The incidence data of TB were collected by using the registers of newly diagnosed TB cases and pulmonary TB cases during 2001-2015 as well as national TB information system.Results A total of 2 340 active pulmonary TB cases were reported during this period,including 1 217 smear positive cases and 1 123 smear negative cases.The overall registering rate of active pulmonary TB cases was in decrease (P =0.001).The average cure rate of newly diagnosed smear positive patients was 93.63％,higher than the 85.00％ required by state for TB treatment.A total of 587 deaths due to TB and 986 TB cases were prevented.The medical cost was reduced by 751 100 yuan (RMB),and 1.428 billion yuan (RMB) economic and social losses were avoided.Conclusion The prevalence of TB is low in Karamay,but the TB case management,referral and tracing still needs to be improved.