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[目的]了解化州市肺结核流行特点,为进一步预防和控制肺结核病提供科学依据。[方法]对化州市2005~2009年肺结核疫情资料进行分析。[结果]2005~2009年累计报告肺结核5 982例,年均报告发病率为78.48/10万。2005~2009年报告发病率分别为74.92/10万、80.78/10万、77.36/10万、75.10/10万、83.97/10万(P<0.05)。年均报告发病率,城区为77.17/10万,乡镇为78.88/10万(P>0.05);男性为107.25/10万,女性为45.75/10万(P<0.05);0~14岁、15~34岁、35~64岁、≥65岁分别为2.36/10万、82.28/10万、84.17/10万、155.91/10万(P<0.05)。5 982例病例中,农民占79.22%,6月末治愈率为91.40%,病死率为0.39%。[结论]化州市结核病防治形势仍十分严峻,结核病防治工作的重点在农村,青壮年是重点人群。
[Objective] To understand the epidemic characteristics of tuberculosis in Huazhou and provide a scientific basis for further prevention and control of tuberculosis. [Method] The epidemic situation of pulmonary tuberculosis in Huazhou from 2005 to 2009 was analyzed. [Results] A total of 5 982 cases of tuberculosis were reported from 2005 to 2009, with an average annual incidence of 78.48 / 100 000. The reported rates from 2005 to 2009 were 74.92 / 100000, 80.78 / 100000, 77.36 / 100000, 75.10 / 100000 and 83.97 / 100000 respectively (P <0.05). The average annual incidence was reported in urban areas of 77.17 / lakh and townships of 78.88 / lakh (P> 0.05); 107.25 / lakh for males and 45.75 / lakh for females (P <0.05) ~ 34 years old, 35 ~ 64 years old, ≥ 65 years old were 2.36 / 100000, 82.28 / 100000, 84.17 / 100000, 155.91 / 100000 (P <0.05). Among 5 982 cases, farmers accounted for 79.22%. The cure rate was 91.40% at the end of June, and the case fatality rate was 0.39%. [Conclusion] The situation of TB control in Huazhou is still very serious. The focus of prevention and treatment of tuberculosis is in rural areas, and young adults are the key population.