2001-2010年浙江省台州市结核病管理情况分析

摘要

Retrospective analysis was conducted on the surveillance data of tuberculosis in the last decade. Results From 2001 to 2010, 35 849 cases of active pulmonary TB were detected, the registering rate was 63. 83/lakh; and 14 186 new smear-positive TB cases were detected, the registering rate was 25. 26/lakh. Up to 97. 41% of new TB cases were the patients by referral or patients seeking medical care due to symptoms. The negative conversion rate of smear positive cases at the end of the 2nd month had increased with years since 2003. The cure rate was 85% in smear positive oases and 86. 09% in new smear positive cases. Conclusion Although marked achievement has been made in TB control and prevention, the situation is still serious. It is necessary to increase the investment, strengthen the DOTS supervision, health education about TB and the TB prevention and control in floating population.%目的 了解浙江省台州市2001-2010年结核病治疗管理情况.方法 采用回顾性调查方法对台州市近10年结核病监测资料进行分析.结果 2001-2010年,全市共发现活动性肺结核病患者35849例,登记率为63.83/10万；新涂阳肺结核患者14186例,登记率为25.26/10万.初诊病例来源以转诊和因症就诊为主,占97.41％.从2003年始,涂阳病例2月末痰菌阴转率在逐年上升.2001-2010年涂阳肺结核病患者治愈率为85％,其中新涂阳患者治愈率为86.09％.结论 台州市结核病防治工作虽取得显著成效,但防治形势仍然严峻,应进一步加大经费和人员的投入,提高现代结核病控制的督导质量,加强结核病宣传及做好流动人口结核病项目等各方面的工作.