涂片阳性肺结核病人及其传染性疾病负担方法学的研究

中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (3): 116-119.

涂片阳性肺结核病人及其传染性疾病负担方法学的研究

许群¹；金水高²；张立兴³；

1 中国协和医科大学协和公共卫生学院 100021；2 中国预防医学科学院公共卫生信息中心；3 北京结核病控制研究所；

收稿日期:1999-04-01 修回日期:1999-05-19 出版日期:1999-03-10 发布日期:1999-03-10

Methodology of the burden of disease with smear_positivepulmonary tuberculosis and its infectivity

Xu Qun , Jin Shuigao , Zhang Lixing .

Public Health College , China Union Medical University 100021

Received:1999-04-01 Revised:1999-05-19 Online:1999-03-10 Published:1999-03-10

摘要/Abstract

摘要： 目的探讨利用 D A L Y 指标测量涂片阳性肺结核病人及其传染性疾病负担的方法?方法以北京市1994 年794 例新登记涂阳肺结核病人的年龄别发病率为基础,构成2000人的研究队列,依据现有的流行病学资料,建立了结核病自然史以及采取 D O T S 干预的转归图及传染模型?结果若不考虑结核传染性造成的潜在疾病负担,将有29.6 % 的 D A L Y 损失会被忽略?结论 D O T S 可减少92.9 % 的 D A L Y 损失,同时可降低99.

关键词: 结核,肺, 失能调整寿命年

Abstract: Objective To explore a methodology of the Disability_ Adjusted Life Year( D A L Y) with smear_positivepulmonary tuberculosis and itsinfectivity . Method An assumed cohort of 2.000 cases was set up based on the age_specificincidence of 794 newly registered smear positive casesin Beijing in 1994 . Prognostic trees and model diagrams ofinfectivitywith natural history and D O T Sinterventions were constructed according to the epidemiology evidence . Results The re sultsshow that it would be neglect 29 .6 % of D A L Y S without consideration of the D A L Y caused by its infectivity . Conclusion D O T Sstrategy could not only reduce 92.9 % of D A L Y Srelated to T B patient itself but also 99.9 % of D A L Y Scaused by itsinfectivity.

Key words: Tuberculosis, pulm onary, DALY

许群, 金水高, 张立兴, . 涂片阳性肺结核病人及其传染性疾病负担方法学的研究[J]. 中国防痨杂志, 1999, 21(3): 116-119.

Xu Qun , Jin Shuigao , Zhang Lixing .. Methodology of the burden of disease with smear_positivepulmonary tuberculosis and its infectivity[J]. Chinese Journal of Antituberculosis, 1999, 21(3): 116-119.

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