福建省结核病登记报告及治疗管理8年监测评价

目的分析福建省肺结核病登记报告及治疗管理监测结果,为评价结核病控制规划和结核病防治可持续发展提供技术政策依据。方法收集1997—2004年福建省的传染病疫情报表和结核病专业系统报表及有关资料进行分析。结果肺结核病疫情报告病例数逐年提高;肺结核病报告新登记率连续8年仅次于肝炎居第二位;发病年龄以青壮年为主,6070岁组也有一高峰;职业分布以农民和工人为主;流动人口肺结核病人主要分布在泉州、厦门和福州,以省际流动人口病例居多;涂阳肺结核病人新登记率从1997年的7.2/10万上升到41.0/10万,涂阳肺结核病人治愈率从1997年的82.0%提高到89.8%。结论福建省结核病控制效果显著,实现“十五”规划目标关键仍在于落实DOTS策略和提高DOTS质量。

The analysis of the register, reporting and treatment outcome of pulmonary tuberculosis in Fujian province in eight years

Objective To analyze the data of registration,reporting and treatment outcome of pulmonary tuberculosis(TB) in Fujian province and to provide evidence to evaluate the sustainable development of TB control program. Method The data on communicable disease report and TB report from 1997 to 2004 in Fujian province were collected and analyzed. Results From 1997 to 2004,the number of reported TB cases increased annually.The registration rate of new cases was only second to hepatitis during the eight years.Adult and those at the age of 60-70 are two groups with highest incidence.Farmer and worker were the two occupations with higher rate than other occupation groups.The pulmonary TB cases in the floating population mainly resided in Chunzhou,Xiamen and Fuzhou and most of them were from other province.The registration rate of new smear positive case increased from 7.2/100 000 in 1997 to 41.0/100 000.Cure rate of smear positive increased from 82.0% in 1997 to 89.8%. Conclusion The performance of TB control in Fujian has been improved.Implementing of DOTS(directly observe therapy,short-course) and improving the qualities of DOTS are still the key to accomplish the tenth five-year plan.