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目的了解龙岩市近年肺结核疫情状况,为防治规划提供依据。方法对2009—2013年肺结核疫情及治疗效果进行分析。结果龙岩市2009-2013年累计报告肺结核6 103例,患者登记率45.82/10万、涂阳登记率29.68/10万、新涂阳登记率26.58/10万,登记率总体呈下降趋势。各月均有病例,男性登记率高于女性,登记率随年龄增长而上升,75岁以上组登记率最高。农民占65.6%,其次是民工7.0%和工人5.9%。新涂阳患者强化期结束后痰菌阴转率92.7%,治愈率94.2%,失败0.5%;;复治涂阳患者分别为90.3%、86.2%、1.9%;涂阴肺结核完成疗程率94.0%,失败0.1%。结论龙岩市肺结核疫情呈下降趋势,患者治疗管理指标均高于结核病防治监控与评价指标的参考标准。发现和治愈肺结核患者是当前控制疫情最有效的措施。
Objective To understand the epidemic situation of pulmonary tuberculosis in Longyan City in recent years and provide basis for prevention and control. Methods The epidemic situation of pulmonary tuberculosis in 2009-2013 and its therapeutic effect were analyzed. Results A total of 6 103 cases of pulmonary tuberculosis were reported from 2009 to 2013 in Longyan City. The registration rate of patients was 45.82 / 100000. The registration rate of smear positive was 29.68 / 100000. The enrollment rate of new smear was 26.58 / 100000. The enrollment rate was generally declining. Each month there are cases, male registration rate higher than women, registration rate increases with age, the highest registration rate of 75 years of age group. Farmers accounted for 65.6%, followed by 7.0% of migrant workers and 5.9% of workers. The sputum negative conversion rate was 92.7%, the cure rate was 94.2%, and the failure rate was 0.5% after the smear positive stage of new smear positive patients. The patients with smear - negative smear positive were 90.3%, 86.2% and 1.9% , Failed 0.1%. Conclusion The epidemic situation of pulmonary tuberculosis in Longyan City showed a downward trend. The treatment management indicators of patients were higher than those of tuberculosis control and evaluation indicators. It is currently the most effective measure to control the outbreak of tuberculosis.