Qian Y, Zhao D, Liu S
National Tuberculosis Control Center, Ministry of Public Health, Beijing.
Zhonghua Jie He He Hu Xi Za Zhi. 1995 Feb;18(1):16-8, 62.
The results of three nationwide epidemiological surveys on tuberculosis showed the declination of the magnitude of tuberculosis from 1979 to 1990 was slower. The case registration rates and new case registration rates within ten years (1982-1991) were gradually increasing year by year and came to a climax in 1988. The fact indicated the improvement of case-finding and case registration. The case registration rate was going down thereafter coincided with the declination of the prevalence of tuberculosis. The proportion of registration rate to the prevalence was rather low. This is mainly attributed to the fact that the majority of detected patients were held by general medical clinics and had not been registered to the central registration of tuberculosis. Therefore, only 17.7% of detected tuberculosis cases were under proper case-management for treatment. The results of cohort analysis on smear-positive treated cases showed the rate of sputum negative conversion was gradually increasing and the case lost rate was going down. The case-management for treatment was improving year by year. The results of sociological study on tuberculosis indicated that the financial problem was the main factor inducing delay of treatment and intermission and interruption of treatment among treated patients.
三项全国性结核病流行病学调查结果显示，1979年至1990年期间结核病疫情下降幅度减缓。十年间（1982 - 1991年）的病例登记率和新病例登记率逐年递增，并于1988年达到高峰。这一事实表明病例发现和病例登记工作有所改善。此后病例登记率下降，与结核病患病率的下降相吻合。登记率占患病率的比例较低。这主要是因为大多数被发现的患者由普通医疗诊所收治，未向结核病中央登记处登记。因此，仅有17.7%被发现的结核病病例得到了适当的治疗管理。对涂片阳性治疗病例的队列分析结果显示，痰菌阴转率逐渐上升，病例丢失率下降。治疗管理逐年改善。结核病社会学研究结果表明，经济问题是导致已治疗患者治疗延迟、治疗间歇和中断的主要因素。
