2005—2012年广西凭祥市结核病发病及治疗转归情况

目的分析中越边境地区广西凭祥市肺结核发病情况及治疗管理监测结果,为结核病防治可持续发展提供科学依据。方法收集并分析2005—2012年结核病管理信息系统凭祥市专报系统数据及凭祥市结核病防治机构月报表、季度和年报表及相关资料。结果 2005—2012年凭祥市结核病发病率总体呈下降趋势,发病率从2005年的162.11/10万上升到2007年的203.07/10万,2008年结核病发病率开始下降,到2012年下降为112.73/10万。病例主要集中在25-64岁年龄段,占肺结核发病总数的67.51%;发病年龄以35-44岁组最高,占肺结核发病总数的18.90%;其次为55-64岁,占肺结核发病总数的17.66%。男性活动性肺结核病例数明显多于女性（2.09∶1）。职业分布以农民为主,占肺结核发病总数的69.84%。2005—2012年新发涂阳肺结核病患者治愈率一直保持在87.80%以上,平均治愈率为92.25%。结论凭祥市结核病疫情严重,通过实施结核病控制策略后,从2008年开始结核病疫情逐步得到控制。

Analysis on epidemic situation and treatment outcome of tuberculosis in Pingxiang City from 2005-2012

Objective]To analyze the epidemic situation and treatment management surveillance results of tuberculosis in Pingxiang City of Guangxi（ the border area between China and Vietnam）,provide a scientific basis for the sustainable development in tuberculosis prevention and control. Methods]The data from the Tuberculosis management information system in Pingxiang City,as well as the monthly reports,quarterly reports,annual reports and related information from the tuberculosis prevention and control institutions in Pingxiang City during 2005-2012 were collected and analyzed. Results]The incidence of tuberculosis showed a downward trend in Pingxiang City from 2005-2012. The incidence rate increased from 162. 11 / lakh in 2005 to 203. 07 / lakh in 2007,afterwards it began to decline in 2008,and reached 112. 73 / lakh in 2012. Cases were mainly concentrated in the 25-64 year-old age group,accounting for 67. 51% of the total cases. The incidence in 35-44 year-old age group was the highest,which the cases accounted for 18. 90% the total cases,followed by 55-64 year-old age group,accounting for 17. 66% the total cases. The male patients with active tuberculosis were significantly more than female patients（ 2. 09∶ 1）. 69. 84% of cases were farmers. During 2005-2012,the cure rates of smear positive tuberculosis patients reached over 87. 80%,and the average cure rate was 92. 25%.Conclusion]The epidemic situation of tuberculosis in Pingxiang City is serious,and it has been gradually controlled since implementing the tuberculosis control strategy in 2008.