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目的调查驻京部队住院肺结核病变化特点,为部队结核病防治工作提供依据。方法对1972-2010年驻京部队住院肺结核病例进行抽样调查,每4～5年抽查1年,调查住院肺结核流行特征。结果调查驻京部队住院肺结核1 647例,男性占87.7%～95.0%,干部占24.8%～39.4%,战士占51.6%～75.2%,职工占0.0%～13.3%,平均发病年龄为27.0～30.9岁;平均住院天数由1972年的196.8d下降为2010年的27.4d,浸润型肺结核无明显变化,血行播散型肺结核、原发型肺结核与慢性纤维空洞型肺结核均下降为0.0%。结核性胸膜炎上升100.0%;病人入院时病灶范围≤5/6、6/6均下降为0.0%;肺结核空洞发生率下降77.5%,痰涂片检查抗酸杆菌阳性率下降79.2%;新发肺结核治愈率由85.0%提高到98.5%。5年复发率由7.5%降至1.2%。结论驻京部队实施的现代结核病防治技术获取了较为明显的控制效果。
Objective To investigate the characteristics of pulmonary tuberculosis inpatient stationed in Beijing and provide basis for prevention and control of tuberculosis in military units. Methods The sample of pulmonary tuberculosis inpatient stationed in Beijing from 1972 to 2010 was sampled and randomized every 4 to 5 years for one year to investigate the prevalence of pulmonary tuberculosis in hospital. Results A total of 1 647 hospitalized tuberculosis patients in Beijing were surveyed, accounting for 87.7% -95.0% of men, 24.8% -39.4% of men and women, 51.6% -75.2% of soldiers, and 0.0% -13.3% of workers, with an average age of 27.0-30.9 Years; the average length of stay decreased from 196.8 days in 1972 to 27.4 days in 2010, with no significant changes in infiltrative pulmonary tuberculosis. Both hematogenous disseminated tuberculosis, primary pulmonary tuberculosis and chronic fibrous hollow tuberculosis decreased by 0.0%. Tuberculosis pleurisy increased by 100.0%; patients admitted to the hospital lesions range ≤ 5 / 6,6 / 6 decreased to 0.0%; the incidence of pulmonary tuberculosis decreased 77.5%, sputum smear acid-fast bacilli positive rate decreased 79.2%; new tuberculosis The cure rate increased from 85.0% to 98.5%. The 5-year recurrence rate dropped from 7.5% to 1.2%. Conclusions The modern TB control technology implemented by the troops stationed in Beijing has obtained more obvious control effects.