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目的分析近 10年来部队肺结核发病特点和报告情况 ,为部队肺结核防治提供参考。方法肺结核的诊断按国家统一标准。数据资料来源于全军疾病监测中心的疫情报告数据库。用军队疾病监测信息管理系统以及EpiInfo、SPSS、Excel软件进行统计分析 ,并计算季节指数以分析时间发病趋势。结果 1992~ 2 0 0 1年全军共报告肺结核 14 331例 ,10年期间均居报告传染病的第 3位 ;1996年以前 ,肺结核发病数逐年升高 ,1996年以后 ,逐年降低 ;所有病例中 ,男性占92 .31% ,干部占 2 5 .6 4% ,战士占 6 6 .0 7% ,发病年龄以 19~ 2 5岁居多 ;发病时间以 5~ 10月份较高 ;2 8.13%的病例发病 1月后才就诊 ,近 30 %的病例报告延迟超过 5d。结论近 10年部队肺结核发病仍较严重 ,发病特点与部队人群构成有关 ,部队肺结核存在就诊延迟和报告不及时的问题 ,建议在病例的发现、报告、治疗管理等方面采取综合措施 ,控制部队肺结核的蔓延
Objective To analyze the incidence and reporting of tuberculosis in the army in recent 10 years and provide references for the prevention and control of tuberculosis in the army. Methods The diagnosis of tuberculosis according to the national standard. The data are from the epidemic reporting database of the Army Disease Surveillance Center. Statistical analysis was carried out with the military disease monitoring information management system and EpiInfo, SPSS and Excel software, and the season index was calculated to analyze the trend of the onset of time. Results A total of 14 331 cases of tuberculosis were reported in the PLA from 1992 to 2001, ranking the third in infectious diseases within 10 years. Before 1996, the incidence of tuberculosis increased year by year and decreased year by year after 1996. All cases Among them, men accounted for 92.31%, cadres accounted for 2.56.4%, soldiers accounted for 6.60.7%, the age of onset was 19 ~ 25 years old; onset time was higher in May ~ October; 2 8.13% Of cases were treated only after 1 month of onset, and nearly 30% of cases reported delayed more than 5 days. Conclusions In recent 10 years, the incidence of tuberculosis in the armed forces is still relatively serious. The characteristics of the incidence are related to the composition of the troop group. The treatment of tuberculosis in the armed forces is delayed and the report is not timely. It is suggested that comprehensive measures be taken in case finding, reporting and treatment management to control tuberculosis The spread