【摘要】 目的了解安徽省部分地区结核病的流行状况和危害程度,为制订结核病控制规划提供依据。方法采用分层整群等比例随机抽样的方法抽取我省8个调查点,平均每个点调查1 330人,抽样比例1:2919。对所有15岁及以上调查对象作X线胸片检查,对所有有痰的胸部X线检查异常者和肺结核可疑症状者进行3次痰涂片和2次痰培养检查,对所有菌株进行菌种鉴定和一、二线抗结核药品的药物敏感性分析,对发现的所有肺结核患者进行社会经济情况问卷调查。结果安徽省15岁及以上活动性肺结核患病率、涂阳肺结核患病率与2000年第四次流调相比分别下降了46%和78%,新发现活动性肺结核病人占总病人数的87%。病人多为文化程度低、经济收入少、劳动强度大的群体。结论安徽省活动性肺结核患病率、涂阳肺结核患病率明显下降。流动人群中的肺结核病人管理是今后工作的重点。更多还原

【Abstract】 Objective To understand the epidemic status of tuberculosis(TB) and its hazard extent in some areas of Anhui province,and provide evidence for formulating the TB control plan.MethodsEight investigation points were taken using stratified-cluster random equal-ratio sampling method.An average of 1330 persons in each investigation point were examined,the sampling proportion was 1:2919.Chest X-ray films were taken on all subjects aged above 15 years.The examinations of three sputum smears and two sputum culture tests were conducted among subjects with abnormal chest X-ray films and subjects with suspicious TB symptoms.And strain identification and susceptibility tests of the first grade and the second grade anti-tuberculosis medicines were performed in all strains,the social-economic status of all PTB patients detected in the former survey and tests were investigated using questionnaires.Results Compared with the forth tuberculosis epidemiologic survey in 2000,the prevalence rates of PTB and smear-positive PB dropped 46% and 78% respectively among all active PTB patients above 15 years old in Anhui province,and newly discovered active PTB patients accounted for 87% of all TB patients.Patients were major in people with lower educational level,or lower income,or higher labour-intensive.Conclusion The prevalence of active PTB and smear-positive PB decreased obviously in Anhui province,but as a province with a great floating population,the management of TB patients was the key for floating population in future.更多还原