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目的通过分析贵州省2002-2013年涂阳肺结核病人登记情况,评价贵州省结核病防治工作取得的成效,为制定结核病预防控制策略提供科学依据。方法利用中国疾病预防控制信息系统结核病专报网中结核病管理信息系统登记的肺结核病人数据,分析贵州省2002-2013年涂阳肺结核患者登记人数及其逐年变化趋势。结果2002-2013年贵州省累计登记肺结核涂阳病人166 816例,其中,新发涂阳肺结核病人132 013例,复治涂阳肺结核病人34 794例。11年间,涂阳患者登记数累计增加了118 804例,年均增长10 800例,其中,新发涂阳增加了102 274例,年均增加9 298例,复治涂阳增加了16 566例,年均增加1 506例。除2008年外,涂阳患者登记总数、新发涂阳患者登记数和复治涂阳患者登记数均呈逐年下降趋势。涂阳患者登记弹性系数显示,涂阳患者登记总数对涂阳任务数不敏感。涂阳患者登记数增长速度分析显示,涂阳患者登记总数、复治涂阳患者登记数和复治涂阳患者登记数占总登记数的比例增长速度均呈逐年下降趋势。结论 2002-2013年贵州省结核病防治工作取得显著成绩,推行现代结核病控制策略行之有效;但单纯强调发现或登记量指标不能有效提高结核病涂阳患者登记率。
Objective To evaluate the achievements of tuberculosis control in Guizhou province by analyzing the registration of smear-positive pulmonary tuberculosis from 2002 to 2013 in Guizhou province and provide a scientific basis for formulating tuberculosis prevention and control strategies. Methods The data of tuberculosis patients registered in tuberculosis management information system of China’s disease control and prevention information system (TBIS) were used to analyze the enrollment of smear-positive pulmonary tuberculosis in 2002-2013 in Guizhou Province and the trend of its yearly change. Results A total of 166 816 cases of smear positive pulmonary tuberculosis were reported in Guizhou province from 2002 to 2013, of which 132 013 were new smear positive pulmonary tuberculosis and 34 794 were retreated smear positive pulmonary tuberculosis. In 11 years, the number of smear-positive patients registered a cumulative increase of 118 804 cases, with an average annual increase of 10 800 cases. Among them, 102 274 cases of new smear positive cases were found, with an average annual increase of 9 298 cases and that of retreated smear positive cases increased by 16 566 cases , With an average annual increase of 1 506 cases. In addition to 2008, the total number of smear-positive patients registered, the number of newly-smeared smear-positive patients and the number of patients receiving retreatment smear-positive patients showed a declining trend year by year. Smear registration of patients with elastic coefficient shows that the number of smear-positive patients is not sensitive to the number of smear tasks. The analysis of the growth rate of smear-positive patients’ registration numbers showed that the total number of smear-positive patients, the number of patients receiving retreatment of smear-positive patients and the number of patients receiving retreatment of smear-positive smears accounted for the total enrollment rate showed a year-on-year downward trend. Conclusion From 2002 to 2013, tuberculosis prevention and control work in Guizhou Province has made remarkable achievements and the implementation of modern TB control strategies has been effective. However, simply emphasizing the discovery or registration index can not effectively increase the registration rate of tuberculosis smear positive patients.