新疆维吾尔自治区第四次结核病流行病学抽样调查报告

目的　了解新疆全区的结核病疫情动态,评价防治措施的效果,为制定2001—20 10年结核病控制规划提供科学依据。方法 采用分层整群随机抽样,对样本人群应用痰检、X线和PPD试验等检查手段,筛选活动性肺结核患者。结果 2000年全区活动性肺结核患病率为463.65/10万,菌阳患病率为252.23/10万,涂阳患病率为159.50/10万,较1990年分别下降了42.7%、23.3%和33.8%,年均递降率分别为5.4%、2.6%、4.1%。结核病死亡率为38.10/10万,肺结核死亡率为34.64/10万,分别较1990年下降33.3%和37.5%。结核病疫情南疆高于北疆,农村高于城市,少数民族高于汉族。结论 新疆自治区的结核病疫情仍很严重,今后应当继续加大结核病控制工作的力度,继续采取以控制传染源为核心的现代结核病控制策略,以少数民族地区和农村为工作重点,在大力加强化疗管理,提高结核病的治愈率的同时,提高结核病患者发现率。

Report on the fourth epidemiological survey for tuberculosis in Xinjiang Uygur Autonomous Region

Objective To determine the epidemiological situation of tuberculosis,evaluate the effections of the efforts on tuberculosis control and provide scientific evidences for developing 2001—2010 tuberculosis control programme in Xinjiang.Methods The multi stratified grouping random sampleing and the proportional sampling method was used.The tuberculosis cases were screened by sputum examination,X ray and PPD test.Results The prevalence rate of active,bacteriological positive and smear positive was 463.65/100?000,252.23/100?000 and 159.50/100?000 respectively.It declined 42.7%,23.3% and 33.8% on the baseline of 1990 respectively.The annual reduction rate was 5.4%,2.6% and 4.1% respectively.The mortality of tuberculosis and pulmonary tuberculosis was 38.10/100?000 and 34.64/100?000 respectively.It declined 33.3% and 37.5% on the baseline of 1990 respectively.The prevalence in south part of Xinjiang was higher than that of north part.The prevalence in rural area was higher than that of urban area.The prevalence in minority nationalities was higher than that of Han nationality.Conclusion The tuberculosis epidemiological situation was still serious,The efforts on tuberculosis control should be strengthened.The modern tuberculosis control strategy that focus on infectious cases should be implemented continuously.The minority nationalities and rural areas should be the priority area of tuberculosis,The case management should be strengthened at the same time that increasing case finding for ensuring higher cure rate.