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目的分析2008-2013年西安市肺结核病人发现与治疗转归情况,为结核病防控的可持续发展提供技术政策依据。方法根据2008-2013年西安市结核病控制工作月报表、季报表进行病例发现及治疗管理水平分析。结果2008-2013年活动性肺结核共计23 914例,其中涂阳病例9 668例,新涂阳病例8 558例,涂阳比例从2008年51.78%降低到2013年21.31%;2008-2013年西安市活动性肺结核病例男女性别比例为2.05∶1,15~24岁之间的青壮年患病人数最多,职业构成以农民为主,占52.73%;6年来共治疗管理病人10 888例,治愈率呈上升趋势,治疗成功率为97.66%。结论 2008-2013年西安市肺结核疫情在年龄、职业和性别分布上存在明显的差异,西安市自实施国家结核病控制策略(DOTS)以来,肺结核病人发现与治疗管理水平不断提高,取得了显著的成效,但是仍需对疫情的特点采取有效控制措施。
Objective To analyze the outcome of the detection and treatment of tuberculosis in Xi’an in 2008-2013 so as to provide technical and policy basis for the sustainable development of tuberculosis prevention and control. Methods Based on the monthly reports and quarterly reports of tuberculosis control work in Xi’an from 2008 to 2013, the case-finding and treatment management level were analyzed. Results A total of 23 914 cases of active tuberculosis (TB) were observed in 2008-2013, including 9 668 smear positive cases and 8 558 new smear positive cases. The percentage of smear positive cases decreased from 51.78% in 2008 to 21.31% in 2013; The ratio of male and female in active tuberculosis cases was 2.05:1. Among the young adults aged 15-24, the majority of the patients were young, occupational occupations accounted for 52.73%. A total of 10 888 cases were managed and managed in the past 6 years. The cure rate was Up trend, the success rate of treatment was 97.66%. Conclusion There were significant differences in age, occupational and sex distribution of TB epidemics in Xi’an from 2008 to 2013. Since the implementation of the National Tuberculosis Control Strategy (DOTS) in Xi’an City, the level of TB patient discovery and treatment management has been continuously improved and achieved remarkable results , But effective control measures on the characteristics of the epidemic still need to be taken.