【摘要】 目的分析大连市17年来肺结核病的控制状况,为今后结核病控制的可持续发展提供技术策略。方法收集并分析1992—2008大连市7个区县项目季报表、流行病学调查及有关资料。结果大连市17年间累计接诊可疑肺结核病人339 931例,发现活动性肺结核病人33 189例,其中新发涂阳肺结核病人14 746例,涂阳新登率由项目前的4.4/10万上升到29.08/10万。初、复治涂阳病人治愈率达93.65%和88.24%,比项目前的65%提高了近30个百分点。结论大连市结核病控制项目取得了明显的社会效益和经济效益。涂阳病人发现率及治愈率的逐年提高,符合结核病控制项目高发现率、高治愈率的要求,达到了控制传染源的目的,其主要原因是行政干预、结核病防制宣传和直接面视下短程化疗(DOTS)策略的落实。更多还原

【Abstract】 [Objective]To analyze the control status of tuberculosis in Dalian City in 17 years,and provide technical strategy for sustainable development of tuberculosis control.[Methods]Project quarter reports and epidemiological data of 7 districts and counties of Dalian City during 1992—2008 were collected.[Results]Totally 339 931 cases of suspected tuberculosis had been examined over 17 years,33 189 were diagnosed active tuberculosis,among which 14 746 were new smear-positive tuberculosis.New smear-positive rate increased from 4.4/100 000 before project to 29.08/100 000.The cure rate of patients with new smear-positive tuberculosis and patients with retreatment was 93.65% and 88.24% respectively,which increased nearly 30 %,compared with 65% before the implementation of the project.[Conclusion]The tuberculosis control project achieved remarkable social and economic benefits in Dalian City.Detection rate and cure rate of patients with smear-positive tuberculosis has increased annually,in line with the requirements of tuberculosis control project,reaching the purpose of controlling the source of infection,due to administrative intervention,tuberculosis control publicity and DOTS strategy implementation.更多还原