摘要
目的:了解长春地区的结核病疫情,评价宣传对控制疫情的效果。方法:采取分层整群等比例随机抽样。对长春市所辖10个县(市)区进行按人口等比例抽样,以问卷为主,对可疑症状者(1)有密切接触史的人群,(2)咳嗽、咳痰超过3周;咯血;咳嗽、咳痰不超过3周伴有低热、乏力等全身中毒症状,(3)有结核病史者进行胸透查痰,胸透异常或痰菌阳性者行胸片检查,由专家会诊确诊。结果:共抽流调点52个,农村34个,城镇18个,实检人口106 498人,占应检人口97.99％,占总人口95.86％,抽样比例1:65.79。肺结核患病率250.71/10万,涂阳患病率99.53/10万,农村高于城镇。接受宣传人群与未接受宣传人群的肺结核主动发现率有显著差异(P<0.05)前者大于后者。接受宣传的已知病人平均就诊时间21.37天,未接受过宣传的已知病人平均就诊时间31.21天相差10天。城市接受宣传的比例与农村接受宣传的比例有显著差别(P<0.05),前者大于后者。结论:(P<0.05)长春地区结核病疫情较严重、各地不平衡、下降缓慢、宣传以起到非常重要的作用,但宣传力度不够。
Objective To realize the epidemiological situation of tuberculosis in ChangChun district, Evaluate and propagate the efficiency of controlling epidemiological situation. Method The multi - stratified grouding random sampling method was used. Conducted geometric ratio random sampling among all population in ten cities belonged to ChangChun city. Questionaire is base,the people who is suspected symptoms as followings:(l)The population who is closed contact history, (2)Cough and expectoration are more than 3 weeks,hemoptysis,or cough,expectoration are less than 3 weeks,but accompany by slight fever tired,whole bady poisoning symptom etc, (3)All of patients who suffered from tuberculosis should be chest x-ray fluoroscopy examined and sputum smeared. If chest x-ray fluoroscopy abnormal or sputum bacteria positive. They should received chest x-ray radiography examination and diagnosed by famous specialists make a final decision.Result A total of 52 investigation points was sampled.city is IS, village is 34.The actual examined population in this survey was 106498 and occupied 97.99 % of the eligable population, occupied 95.86 % of the all population. The prevalence of active and smear positive pulmonary tuberculosis were 250.71/100000 and 99.53/100000 respectively, The villages'is higher than cities' .Pulmonary tuberculosis active discovery rate of receive and non - receive propagation population were significant differences (P < 0.05) .The former is more than the latter. Among the known patients of receive and non - receive propagation in whice the average see a doctor time is 27.31 days and 31.21 days respectively. It s ten days difference between the two.The proportion of city and village receive propagation were significant differences(P<0.05) .The former is more than the latter.Conclusion The epidemiological situation of tuberculosis is rather severe in ChangChun district and it was inequable in different areas, descended slowly, playing an imposatant well in propagation, but the propagation dynamics is not enough.
出处
《中国公共卫生管理》
2003年第4期341-343,共3页
Chinese Journal of Public Health Management
