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目的对住解放军第309医院的部队官兵肺结核病例的流行特点及进行分析,为控制部队结核病疫情提供依据。方法对2009-2010年某医院部队官兵肺结核病例进行分析。结果 2009-2010年门诊及住院治疗结核病例共207例,平均发病年龄32岁,60岁以上占12.57%,男女比11.94∶1。92.75%来自驻京部队,战士占65.70%,干部占23.67%,军队离退休未交地方人员占10.63%。原发性占0.97%,血行播散性占1.93%,继发性占73.91%,结核性胸膜炎占12.56%,继发性合并结核性胸膜炎占10.63%。179例新发肺结核病例痰检率为77.10%,痰菌阳性率为18.12%,痰菌阴转率96.77%。采用6～9月疗程进行化疗,202例完成化疗病例,治愈率98.51%。结论某医院部队官兵肺结核病例以青年男性战士为主,以继发性肺结核为主,肺结核治疗以短程化疗为主,治愈率较高。
Objective To analyze and analyze the epidemiological characteristics of tuberculosis cases among officers and soldiers of the 309th Hospital of People’s Liberation Army and provide basis for controlling tuberculosis outbreak in the armed forces. Methods A case of pulmonary tuberculosis among officers and soldiers in a hospital from 2009 to 2010 was analyzed. Results A total of 207 cases of outpatient and inpatient TB were found in 2009-2010. The average age of onset was 32 years old, accounting for 12.57% of those over 60 years old. The male-to-female ratio was 11.94:1.92.75% from the troops stationed in Beijing. Soldiers accounted for 65.70%, and cadres accounted for 23.67% , The army retired unmanned local officials accounted for 10.63%. Primary accounted for 0.97%, hematogenous disseminated accounted for 1.93%, secondary accounted for 73.91%, tuberculous pleurisy accounted for 12.56%, secondary tuberculous pleurisy accounted for 10.63%. 179 cases of new cases of pulmonary tuberculosis sputum examination was 77.10%, sputum positive rate was 18.12%, sputum negative conversion rate of 96.77%. Chemotherapy was performed in 6 to 9 months, and in 202 cases completed chemotherapy, the cure rate was 98.51%. Conclusions The cases of pulmonary tuberculosis among officers and soldiers in a hospital are mainly young male warfighters, with secondary pulmonary tuberculosis as the mainstay, and tuberculosis treatment as the mainstay of short-course chemotherapy, with a high cure rate.