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目的了解新疆维吾尔自治区哈密市肺结核的流行病学特点及综合性防治措施的制订。方法根据结核病统计表及网络报告数据,采用描述流行病现况分析方法。结果6年累计报告活动性肺结核新登记1647例,平均年新登记率为457.93/10万;发病季节性不明显,但冬春季新登记病例约占50%;人群以具有生产劳动能力的青壮年为主,且有低龄化发病趋势,性别差异无统计学意义。疫情报告及时率为98.26%,一致率为98.06%,完整率为98.09%。结论建议加强冬春季的肺结核防治工作。将医疗机构报告卡的填写质量纳入年度综合目标考核,卫生监督机构定期督导检查,并建立行之有效的长效机构。加强首诊医生责任心,认真核实病例信息的准确性。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis in Hami, Xinjiang Uygur Autonomous Region and the formulation of comprehensive prevention and treatment measures. Methods According to the tuberculosis statistics and the network report data, an epidemiological analysis method was used. Results A total of 1647 cases of newly diagnosed tuberculosis were reported in the past 6 years, with an average annual new registration rate of 457.93 / lakh. The seasonal incidence was not obvious, but about 50% of new cases were registered in winter and spring. The population was young and middle-aged with productive labor capacity The main trend, but also the trend of younger age, gender difference was not statistically significant. The timely reporting rate of epidemic situation was 98.26%, the concordance rate was 98.06% and the complete rate was 98.09%. Conclusion It is suggested to strengthen the prevention and control of tuberculosis in winter and spring. The medical institution report card fill quality into the annual comprehensive target assessment, health supervision agencies regularly supervise and inspect, and establish effective long-term institutions. Strengthen the sense of responsibility of the first doctor, carefully verify the accuracy of the case information.