摘要
目的分析我国涂阴肺结核报告发病率和死亡率的变化特征，以及对我国肺结核疫情控制的影响。方法利用2005-2014年我国“传染病报告信息管理系统”报告的活动性肺结核发病例数和报告死亡例数，统计分析全国肺结核报告发病率和死亡率、涂阴肺结核报告发病率和报告死亡率，以及涂阴肺结核报告发病例数、发病率的变化趋势和涂阴肺结核报告发病例数占肺结核报告发病总例数的比例。结果2005年涂阴肺结核报告发病患者为414137例，报告发病率为31．86／10万（414137／129988万），2014年涂阴肺结核报告发病患者为534480例，报告发病率为39．28／10万（534480／136072万），9年间涂阴肺结核报告发病率增加了24．20％。2005年报告涂阴肺结核发病患者占总肺结核患者的43．19％（414137／958826），2014年报告涂阴肺结核发病患者占总肺结核患者的66．43％（534480／804581）。20052014年，全国涂阴肺结核报告发病患者中，男性占67．94％（3190239／4695400），15～60岁者占71．35％（3350226／4695400）。2005年涂阴肺结核报告死亡率为0．06／10万（729／129988万），2014年为0．07／10万（889／136072万）。结论近年来，我国涂阴肺结核报告发病率逐渐上升，涂阴肺结核报告发病例数占总肺结核患者的比例逐渐增加，已经超过涂阳肺结核报告发病例数。加强对涂阴肺结核的诊断和治疗管理，是降低我国肺结核发病率的重要措施之一。
Objective To analyze the features of smear negative pulmonary tuberculosis incidence and mortality rates and its impact on China＇ s reporting-incidence of tuberculosis. Methods By using active tuberculosis occurrences and deaths data reported through network reporting system of infectious diseases between 2005 and 2014, to analyze the national tuberculosis incidence and mortality and the reported-incidence of smear negative pulmonary tuberculosis and mortality, and proportion of reported the smear negative pulmonary tuberculosis in total number of tuberculosis cases. Results In 2005, the reported cases of smear negative pulmonary tuberculosis was 414 137 cases with the incidence of 31.86/100 000（414 137/1 299 880 000）, in 2014 the reported cases was of 534 480, with the incidence of 39.28/100 000（534 480/1 360 720 000）, 24.20% increase in 9 years. In 2005, the reported number of smear negative pulmonary tuberculosis accounted 43.19%（414 137/958 826） in total TB cases, and in 2014 this proportion was 66.43%（534 480/804 581）. Between 2005-2014, among smear negative pulmonary tuberculosis cases in the country, male accounted for 67.94%（3 190 239/4 695 400）, 71.35%（3 350 226/4 695 400） was between 15-60 years old. The reported mortality rate of smear negative pulmonary tuberculosis was 0. 06/100 000 （729/1 299 880 000） in 2005 and 0. 07/100 000（889/1 360 720 000） in 2014. Conclusion In recent years, the incidence of smear negative pulmonary tuberculosis is on the rise gradually, and the proportion of smear negative pulmonary tuberculosis also increasing and already has exceeded the proportion of smear-positive tuberculosis cases. Therefore, to strengthen the diagnosis and treatment management of smear negative pulmonary tuberculosis, is one of the most important measures to reduce the incidence of tuberculosis.
出处
《中国防痨杂志》
CAS
2015年第5期473-477,共5页
Chinese Journal of Antituberculosis
关键词
结核
肺/流行病学
发病率
结核
肺/死亡率
计算机通信网络
Tuberculosis, pulmonary/epidemiology
Incidence
Tuberculosis, pulmonary/mortality
Computer communication networks
作者简介
通信作者：成诗明，Email：smcheng@chinatb．org
