黑龙江省17年新涂阳肺结核病人登记趋势分析

目的分析黑龙江省实施现代结核病控制策略17年新涂阳肺结核病人登记趋势。方法收集1992年4月1日—2002年6月30日世界银行贷款黑龙江省结核病控制项目工作季报表和2002年7月1日—2008年12月31日中国结核病控制工作季报表中每年各性别、年龄组新涂阳肺结核病人登记数据。结果 1992—2008年黑龙江省登记新涂阳肺结核病人229053例,新涂阳肺结核登记率自项目启动以来逐年升高,至1997年达高峰,后逐年下降至2002年达最低点,2002年以后快速上升至2004年再次形成小高峰后略有下降。男性高于女性,男性登记高峰在2008年,女性登记高峰为2007年,二者登记低值均在2002年。从年龄来看,1996年以后病人登记高峰推迟到65岁以上,男性和女性的年龄登记曲线不同。结论在政府重视、项目支持的情况下,黑龙江省新涂阳肺结核病人登记率总体稳定,男性高于女性,登记高峰推迟到65岁及以后,男女的不同年龄病人登记趋势变化不同。

Registration trend analysis of new smear positive pulmonary tuberculosis patients in 17 years in Heilongjiang province

Objective To explore the registration trend of new smear positive tuberculosis in 17 years in Heilongjiang province since implementation of DOTS strategy. Methods Quarterly reports of WB Heilongjiang TB project from April 1,1992 to June 30,2002 and National TB program from July 1,2002 to December 31,2008 were collected. Results From 1992 to 2008,a total of 229 053 cases of new smear positive were registered in whole province,the registration rate rose with the WB project implementation by year,peaked in 1997,then gradually dropped to the lowest point in 2002,then a rapid increase after 2002 until another small peak in 2004,again a slight decrease thereafter. The registration rate was higher in male than female,male peaked in 2008,while female in 2007,and both of them were lowest in 2002. In terms of age,after 1996,patients registration summit postponed to over 65,the age registration trend curves were different between male and female. Conclusions Under government＇s attention and funds input,the overall trend of registration rate of new smear positive tuberculosis was stable in Heilongjiang Province. The registration rate was higher in male than female and summit in over 65. The age registration trend were different between male and female.