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目的了解昆山市肺结核病疫情特点和控制效果,为今后开展肺结核病控制工作提供参考依据。方法以肺结核管理信息系统及相关统计报表为数据来源,对2005—2013年昆山市肺结核病疫情、流行特征、治疗效果进行描述分析。结果2005—2013年共登记管理活动性肺结核患者4 756例,登记率为30.69/10万,新涂阳为13.48/10万;男∶女=2.32∶1;涂阳患者25~34岁组人群占31.56%,其次是15~24岁组占29.46%。工人占57.42%,农民占15.37%。新涂阳患者治愈率为90.43%,涂阳患者平均治愈率为89.06%。发现方式为因症就诊占64.89%,综合医院转诊占17.28%,追踪占14.19%。结论肺结核疫情得到了有效控制,登记率有下降趋势,涂阳肺结核患者的治愈率达到并超过了《中国结核病防治规划实施工作指南》的要求。
Objective To understand the epidemiological characteristics and control effects of pulmonary tuberculosis in Kunshan City and provide reference for carrying out tuberculosis control in the future. Methods Tuberculosis management information system and related statistical reports were used as data source to describe and analyze the epidemic situation, epidemic characteristics and treatment effect of pulmonary tuberculosis in Kunshan City from 2005 to 2013. Results A total of 4 756 cases of active pulmonary tuberculosis were registered and administered from 2005 to 2013, with a registration rate of 30.69 / 100 000 and a new smear positive of 13.48 / 100 000; male: female = 2.32:1; smear-positive patients aged 25-34 Accounting for 31.56%, followed by 15 to 24 years old group accounted for 29.46%. Workers accounted for 57.42%, peasants accounted for 15.37%. The new smear positive rate was 90.43%, smear positive patients average cure rate was 89.06%. 64.89% were found for symptomatic treatment, 17.28% for general hospital referral and 14.19% for tracing. Conclusion The epidemic situation of tuberculosis has been effectively controlled and the registration rate has been declining. The cure rate of smear-positive pulmonary tuberculosis patients meets and surpasses the requirements of the Guidelines for the Implementation of China’s Tuberculosis Prevention and Control Program.