2000年全国结核病流行病学抽样调查肺结核病人社会经济情况调查内容Content三次流调患病率结果Prevalenceresultsof3surveys不同地区的患病率Prevalenceindifferentarea登记率与患病率的比较Comparisionbetweencaseratesandprevalence卫V项目与非项目地区涂阳患病率的变化Smearpositiveprevalenceinprojectareaandnon-projectarea一般情况GeneralSituation一般情况GeneralSituation经济收入能力及文化程度Occupationalincome&Educationbackground1.Illiteracy2.Primaryschool3.Juniormiddleschool4.≥Seniormiddleschool家庭经济情况FamilyEconomicalSituation医疗保障状况MedicalInsuranceSituation就诊及诊治情况ClinicalConsultation,DiagnosisandTreatment图2病人在发病前接受TB宣教的情况HealtheducationaboutTBreceivedbeforeillness图3症状分布Distributionofsymptomatic☆有症状就诊ClinicalConsultationAmongSymptomatic图4初诊单位Typeofhealthclinicsforfirstclinicalconsultation表5未就诊原因分析Causesfordelayofclinicalconsultation原因1.自己2.工作忙3.经济4.交通5.就诊6.服务态其他合计Causes不在乎没时间困难不便点太远度不好OtherNo.25915175610134692000年%55.23.237.31.30.20.02.8100.0No.36636169未统计372426521990年%56.25.525.9—5.70.36.4100.01.Notmind2.Hadnotime3.Financialproblem4.Trafficproblem5.Thehealthunitistoofar6.Badservice☆诊断Diagnosis☆转诊、登记及治疗Transferring,RegistryandTreatment表6转诊、登记及治疗确诊病人数转诊登记治疗No.ofConfirmedPTBTrans-RegistryTreatmentNo%No%No%结防机构TBDispensary45——4395.245100.0非结防机构Otherhealthunit3334413.25015.032998.8合计Total378——9023.837497.9☆治疗状态Situationofregulartreatment表8治疗状态1.规则治疗2.中断、间断治疗合计No%No%TotalA结防机构3661.02339.0592000年B非结防机构6621.624979.0315合计Total10227.327272.7374A结防机构25555.520444.14591990年B非结防机构29613.4190686.62202合计Total55120.7211079.326611.Regularlytreated2.IntermittentandInterruptedTreatmentA.TBdispensaryB.Otherhealthunit1278肺结核病人1096有症状（86%）182无症状（14%）627就诊（57%）469未就诊（43%）378确诊（60%）249未确诊（40%）333在非结防45在结防机构确诊（88%）机构确诊（12%）283未登记50432未登记（4%）（85%）登记93病人发现率CaseDetectionRate(%)1.93/1278=7%2.378/1278=30%表9间断或中断治疗原因Tab.9Causesofintermittentorinterruptionoftreatment症状改善*药物反应经济困难其他合计自行停药SideeffectFinancialproblemOtherTotalNo.%No.%No.%No.%涂阳病人4238.532.85954.154.6109S+PTB涂阴病人7445.4106.16238.01710.4163S-PTB合计Total11642.6134.812144.5228.1272*Self-stoppingtakingdrugsaftersymptomsdisappea