结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (2): 101-105.doi: 10.3969/j.issn.2095-3755.2015.02.006

• 论著 • 上一篇    下一篇

山东省莒县2003—2013年登记结核病流行特征及DOTS策略实施效果的评价分析

钟京明,卢纪绪,宋国强,何乃玲   

  1. 276800山东省莒县结核病防治所(钟京明、宋国强、何乃玲);山东省日照市结核病防治所(卢纪绪)
  • 收稿日期:2014-09-26 出版日期:2015-06-14 发布日期:2015-06-14
  • 通信作者: 卢纪绪,Email:jixu93668@126.com

Analysis on tuberculosis epidemic characteristics and implementation effect of DOTS strategy in Juxian of Shandong Province during 2003 to 2013

ZHONG Jing-ming*, LU Ji-xu, SONG Guo-qiang, HE Nai-ling   

  1. *Juxian Tuberculosis Control Institution, Juxian 276800, China
  • Received:2014-09-26 Online:2015-06-14 Published:2015-06-14
  • Contact: LU Ji-xu,Email:jixu93668@126.com

摘要: 目的 了解《莒县结核病防治规划(2001—2010年)》(简称“《莒县规划》”)实施情况,摸清区域人群的结核病发病规律,科学评价《莒县规划》实施情况和DOTS策略的执行效果,为制定完善莒县结核病控制策略及对策提供科学依据。方法 莒县2003—2013年间全县总人口为12 166 055人,以结核病管理信息系统及相关统计报表数据为来源,对莒县2003—2013年登记管理的4481例结核病患者进行登记率、流行病学特征、治疗效果进行分析,并对DOTS效果及社会效益进行评价分析。结果 2003—2013年登记率为36.83/10万(4481/12 166 055);新涂阳登记率为21.59/10万(2627/12 166 055);男∶女=2.74∶1;登记率年龄组分布前三位分别为15~岁组[21.36% (957/4481)]、 55~岁组[17.96%(805/4481)]和65~74岁组[15.53% (696/4481)];职业分布以农民为主,占87.61% (3926/4481);新涂阳患者强化期结束痰菌阴转率为98.82%(2596/2627);复治涂阳患者强化期结束痰菌阴转率为95.91%(211/220),涂阳患者平均治愈率为95.36%(2715/2847)。避免22 460人感染结核分枝杆菌,避免新发结核病患者2246例,为社会节约医疗费用1 533 765元,为社会挽回损失总价值266 685 094元。结论 莒县积极推行现代结核病控制策略,2003—2013年结核病登记率呈逐年下降趋势,患者治愈率达到并超过了《莒县规划》要求,DOTS策略实施效果显著。

Abstract: Objective To understand the implementation effect of Tuberculosis Control Program (2001—2010) of Juxian and find out the characteristic of TB incidence, provide scientific basis for TB control strategies in Juxian.Methods The total population is 12 166 055 during 2003—2013 in Juxian. Through TB information mana-gement system and relevant statistic reports, we analyzed TB registration rate, epidemiological character and trea-tment effect of 4481 TB patients registered during 2003 to 2013 of Juxian, and evaluated the effect and social benefit of DOTS strategy.Results During 2003—2013 registration rates of active and new SS+ pulmonary TB cases were 36.83/105 (4481/12 166 055) and 21.59/105 (2627/12 166 055) respectively. The male to female ratio is 2.74∶1. In terms of the age distribution, the first three age group is 15- age group which accounted 21.36% (957/4481), 55- age group which accounted 17.96% (805/4481) and 65-74 age group which accounted 15.53% (696/4481). In terms of the occupational distribution, the first place is farmer, accounted 87.61% (3926/4481). Sputum conversion rates of new and retreatment SS+TB cases were 98.82% (2596/2627) and 95.91% (211/220). The average cure rate of SS+ TB cases was 95.36% (2715/2847). It avoided 22 460 people from being infected with Mycobacterium tuberculosis, and avoided 2246 people from active TB, saved medical costs of 1 533 765 Yuan and restore economic losses worth a total of 266 685 094 Yuan for society.Conclusion Modern TB control strategy was promoted actively in Juxian. TB registration rate showed a downward trend during 2003—2013. TB cure rate reached and exceeded the requirement of national TB program. DOTS strategies received significant effect.