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中国防痨杂志 ›› 2018, Vol. 40 ›› Issue (6): 570-577.doi: 10.3969/j.issn.1000-6621.2018.06.005

• 论著 • 上一篇    下一篇

2011—2015年全国肺结核患者登记情况分析

胡冬梅,徐彩红,李雪,刘小秋()   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心政策规划部
  • 收稿日期:2018-04-12 出版日期:2018-06-20 发布日期:2018-07-24
  • 基金资助:
    甘肃FIDELIS项目(2003_fid_1_004)

Trend analysis of the pulmonary tuberculosis registration in China from 2011 to 2015

Dong-mei HU,Cai-hong XU,Xue LI,Xiao-qiu LIU()   

  1. Department of Policy and Programme, National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2018-04-12 Online:2018-06-20 Published:2018-07-24

摘要: 目的

分析2011—2015年全国31个省(直辖市、自治区;不包括中国台湾、香港、澳门地区,下同)活动性肺结核和新涂阳肺结核患者登记率变化情况,为评价《全国结核病防治规划(2011—2015年)》(以下简称为《“十二五”规划》)实施期间肺结核患者发现和登记质量提供依据。

方法

利用2011—2015年结核病信息管理系统登记报告的活动性肺结核患者例数(4268687例)和新涂阳肺结核患者例数(1415537例),统计分析2011—2015年全国31个省(直辖市、自治区)活动性肺结核患者登记率和新涂阳肺结核登记率,以及新涂阳肺结核患者登记例数占活动性肺结核患者登记例数的比率,以明确《“十二五”规划》期间活动性肺结核患者登记率和新涂阳肺结核登记率的变化情况。

结果

2011年全国新涂阳肺结核患者登记例数占活动性肺结核登记例数的41.6%(377005/905344),2015年占26.4%(210581/798927)。2011年活动性肺结核患者登记率为67.5/10万(905344/134091万),新涂阳肺结核患者登记率为28.1/10万(377005/134091万),2015年两个登记率分别为58.4/10万(798927/136782万)和15.4/10万(210581/136782万)。2011—2015年全国31个省(直辖市、自治区)活动性肺结核患者登记率环比统计结果:2012年较2011年降低了1.2%,2013年较2012年降低了5.0%,2014年较2013年降低了3.4%,2015年较2014年降低了2.6%;新涂阳肺结核患者登记例数环比结果:2012年较2011年降低了16.1%,2013年较2012年降低了12.8%,2014年较2013年降低了14.6%,2015年较2014年降低了10.7%。31个省(直辖市、自治区)2011年新涂阳肺结核患者登记例数在活动性肺结核患者所占比率范围为24.1%~66.3%,2012年为20.7%~63.1%,2013年为17.8%~60.6%,2014年为13.8%~49.6%,2015年为12.3%~48.1%。

结论

《“十二五”规划》实施期间,全国活动性肺结核患者登记率稳步下降,新涂阳肺结核患者登记率下降迅速,需采取相应措施提高肺结核患者发现和登记工作。

关键词: 结核, 肺, 登记, 疾病报告, 数据说明, 统计, 对比研究

Abstract: Objective

To analyze the trend of the registration of active pulmonary tuberculosis (PTB) patients and new smear positive PTB patients in China (Excluding Hong Kong, Macao and Taiwan) from 2011 to 2015, and to provide reference for the evaluation of case detection and registration during the Twelfth Five-year TB Control Programme.

Methods

The numbers of active PTB and new smear positive PTB patients from 2011 to 2015 from the National Tuberculosis Information Management System were 4268687 and 1415537 respectively. The annual registration rates of active PTB and smear positive PTB patients, as well as the proportion of new smear positive PTB in active PTB were calculated and compared both nationwide and by provinces.

Results

In 2011 and 2015, the proportions of new smear positive PTB in active PTB were 41.6% (377005/905344) and 26.4% (210581/798927) respectively. The registration rates of active PTB and new smear positive PTB in 2011 were 67.5/100000 (905344/1340910000) and 28.1/100000 (377005/1340910000) respectively, while those in 2015 were 58.4/100000 (798927/1367820000) and 15.4/100000 (210581/1367820000) respectively. The registration rate of active PTB decreased by 1.2% from 2011 to 2012, 5.0% from 2012 to 2013, 3.4% from 2013 to 2014 and 2.6% from 2014 to 2015, so did that of new smear positive PTB (by 16.1% from 2011 to 2012, 12.8% from 2012 to 2013, 14.6% from 2013 to 2014 and 10.7% from 2014 to 2015). The proportion of new smear positive PTB in active PTB of 31 provinces ranged from 24.1% to 66.3% in 2011, from 20.7% to 63.1% in 2012, from 17.8% to 60.6% in 2013, from 13.8% to 49.6% in 2014 and from 12.3% to 48.1% in 2015.

Conclusion

There is a steady decline in the registration rate of active PTB but a significant decline in that of new smear positive PTB during the Twelfth Five-year TB Control Programme. Various measures need to be implemented to improve PTB case detection and registration.

Key words: Tuberculosis, pulmonary, Registries, Disease notification, Data interpretation, statistical, Comparative study