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目的了解歙县肺结核流行特征,分析病例登记及治疗情况,为结核病控制可持续发展提供技术依据。方法对歙县2003～2008年报告的肺结核病例和县结核病专科门诊登记治疗病人情况进行分析。结果歙县肺结核平均患病率110.5/10万。农民占73.7%,男女比例1∶0.34;患病率随年龄的增大而升高,35岁以上人群上升明显。6年间县结核病专科门诊共接诊4 004人,确诊活动性肺结核病人1 728人,登记率58.2/10万,其中新发涂阳登记率37/10万。医疗机构转诊到位率49.1%,检出率58.6%;明显高于病人因症就诊32.7%(2χ=260,P<0.005)。活动性肺结核病人治疗成功率87.8%,涂阳病人治愈率87.6%。其中新发涂阳病人治愈率90.1%高于复治涂阳病人治愈率73.5%(2χ=42.5,P<0.005)。结论应用现代结核病控制策略(DOTS),促进了歙县结核病防治工作。今后工作重点应放在提高转诊到位率和复治涂阳病人治愈率。
Objective To understand the epidemiological features of tuberculosis in Pixian County and analyze the registration and treatment of cases so as to provide technical basis for the sustainable development of tuberculosis control. Methods The cases of tuberculosis cases reported by Xixian County from 2003 to 2008 and the registration and treatment of tuberculosis specialist clinics in county were analyzed. The results of Pixian County, the average prevalence of tuberculosis 110.5 / 100,000. Farmers accounted for 73.7%, male to female ratio 1:0.34; prevalence increased with age, the population over the age of 35 increased significantly. In the past 6 years, 4 004 TB clinics have been received and 1 728 TB patients have been diagnosed. The registration rate is 58.2 / 100 000, of which the newly-registered smear registration rate is 37/10 million. The referral rate of medical institutions was 49.1%, with a detection rate of 58.6%; significantly higher than the 32.7% (2χ = 260, P <0.005). Active tuberculosis patients treatment success rate 87.8%, smear positive patients cure rate 87.6%. Among them, the cure rate of new smear-positive patients was 90.1% higher than that of smear-positive smear-positive patients (73.5%, 2χ = 42.5, P <0.005). Conclusions The modern TB control strategy (DOTS) has been applied to promote TB prevention and treatment in Juxian County. Future work should focus on improving the referral rate and the cure rate of smear-positive patients.