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目的回顾分析2005～2009年新疆喀什地区疫情报告数据,旨在发现存在的问题。方法对比分析病人的登记、治疗转归和转诊、追踪情况。结果该地区平均发现活动性肺结核病人占全疆的27.74%、涂阳占31.09%;初、复治涂阳患者的平均治愈率和新发涂阴完成疗程率分别为97.8%、97.5%和94.7%,其他地州为90.04%、83.89%和74.38%;转诊到位率、追踪率、追踪到位率、总到位率为7.35%、74.94%、43.75%、36.67%,其他地州为35.65%、96.25%、55.93%、68.80%。结论喀什地区是新疆结核病高发区之一。在缺乏严格全程督导管理下,长期、大量、大范围高治愈率报表与疫情失控显然有悖;病人转报存在“高报、低转、高追、低到”情况;当务之急是提高认识、加强培训、严格管理、科学统计。
Objective To review the data of epidemic situation in Kashgar from 2005 to 2009 in Xinjiang for the purpose of finding out the existing problems. Methods The comparative analysis of the patient registration, treatment and referral, follow-up. Results An average of 27.74% of active tuberculosis patients were found in this area, accounting for 31.09% of the total in Xinjiang. The average cure rates of new smear-positive and primordial smear-positive patients were 97.8%, 97.5% and 94.7 %, While other states were 90.04%, 83.89% and 74.38%. The referral rate, follow-up rate and follow-up rate were 7.35%, 74.94%, 43.75% and 36.67% 96.25%, 55.93%, 68.80%. Conclusion Kashgar is one of the high incidence areas of tuberculosis in Xinjiang. In the absence of strict supervision and administration, long-term, large-scale and large-scale high cure rates are in contradiction with out-of-control epidemic situations. There is a "high, low-turn, high-chase and low- , Strengthen training, strict management, scientific statistics.