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目的了解2003—2011年双柏县涂阳肺结核病例的发现、分布和管理、治疗情况。方法采用描述性流行病学方法对2003—2011年经双柏县疾病预防控制中心结防科确诊并全程督导治疗的痰涂片阳性肺结核病例登记资料进行分析。结果 9年间共管理和治疗涂阳病例529例,9年平均涂阳登记率为37.85/10万。其中初治涂阳428例,占涂阳病例总数的80.90%,平均新涂阳任务完成率为108.63%(428/394),治愈率为96.73%(414/428);复治涂阳101例,占涂阳病例总数的19.10%,治愈率为87.13%(88/101)。病例职业以农民为主,共486例,占91.87%。结论双柏县经过9年肺结核防控策略的实施,肺结核病例涂阳率、新涂阳任务完成率和治愈率明显提高,有效遏制了结核病在该县的传播和流行。
Objective To understand the discovery, distribution, management and treatment of smear-positive pulmonary tuberculosis cases in Shuangbo County during 2003-2011. Methods Descriptive epidemiological methods were used to analyze the registration data of sputum smear-positive pulmonary tuberculosis cases diagnosed and supervised by the Center for Disease Prevention and Control of Shuangbo County Center for Disease Control and Prevention from 2003 to 2011. Results A total of 529 smear positive cases were managed and treated in 9 years. The average registered smear rate in 9 years was 37.85 / 100000. Among them, 428 cases of smear positive were newly diagnosed, accounting for 80.90% of the smear positive cases. The average completion rate of new smear positive tasks was 108.63% (428/394) and the cure rate was 96.73% (414/428) , Accounting for 19.10% of the total smear positive cases, the cure rate was 87.13% (88/101). The cases were dominated by peasants, a total of 486 cases, accounting for 91.87%. Conclusion After 9 years of implementation of tuberculosis prevention and control strategies in Shuangbo County, the rate of smear positive cases and the completion rate and cure rate of new smear positive cases in Shuangbai County increased significantly, effectively preventing the spread and prevalence of tuberculosis in the county.