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目的分析中越边境地区广西凭祥市肺结核发病情况及治疗管理监测结果,为结核病防治可持续发展提供科学依据。方法收集并分析2005—2012年结核病管理信息系统凭祥市专报系统数据及凭祥市结核病防治机构月报表、季度和年报表及相关资料。结果 2005—2012年凭祥市结核病发病率总体呈下降趋势,发病率从2005年的162.11/10万上升到2007年的203.07/10万,2008年结核病发病率开始下降,到2012年下降为112.73/10万。病例主要集中在25~64岁年龄段,占肺结核发病总数的67.51%;发病年龄以35~44岁组最高,占肺结核发病总数的18.90%;其次为55~64岁,占肺结核发病总数的17.66%。男性活动性肺结核病例数明显多于女性(2.09∶1)。职业分布以农民为主,占肺结核发病总数的69.84%。2005—2012年新发涂阳肺结核病患者治愈率一直保持在87.80%以上,平均治愈率为92.25%。结论凭祥市结核病疫情严重,通过实施结核病控制策略后,从2008年开始结核病疫情逐步得到控制。
Objective To analyze the incidence of pulmonary tuberculosis and treatment management in Pingxiang City, Guangxi Province, China, and to provide a scientific basis for the sustainable development of tuberculosis prevention and treatment. Methods The data of Pingxiang Special Report for Tuberculosis Management Information System from 2005 to 2012 and the monthly, quarterly and annual reports and related materials of TB control institutions in Pingxiang were collected and analyzed. Results The incidence of tuberculosis in Pingxiang City dropped from 2005 to 2012, with the incidence increasing from 162.11 / 100 000 in 2005 to 203.07 / 100 000 in 2007. The incidence of tuberculosis in 2008 began to decline and decreased to 112.73 in 2012 /100,000. The cases mainly concentrated in the age group of 25-64 years old, accounting for 67.51% of the total incidence of tuberculosis. The age of onset was the highest in 35-44 years old group, accounting for 18.90% of the total number of tuberculosis cases, followed by 55-64 years old, accounting for 17.66% %. The number of male cases of active tuberculosis was significantly more than that of women (2.09: 1). Occupation distribution mainly farmers, accounting for 69.84% of the total number of tuberculosis. The cure rate of new smear-positive pulmonary tuberculosis in 2005-2012 was more than 87.80%, with an average cure rate of 92.25%. Conclusion The epidemic situation of tuberculosis in Pingxiang is serious. By implementing the TB control strategy, TB epidemics have been gradually controlled since 2008.