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当前全球性结核病流行病学状况一、结核病死亡专率随着各国社会经济情况的改变以及在治疗结核病方面的巨大进展,以往沿用已久的结核病死亡专率已日益失去它作为重要的流行病学指标的意义。因为在目前医疗条件下多数结核病人已不再直接死于结核病,而且随着控制结核病工作的充分开展,老年人成为结核病的高发年龄组,而很多老年肺结核病人将会死于其他老年人常见疾病如脑血管意外,心脏病,糖尿病及肿瘤等。此外,目前多数发展中国家尚未建立严格的死亡报告及鉴定制度,因此很难获得精确的死亡专率。由于误报和漏报现象比较严重,不能反映
Current Epidemiological Status of Global Tuberculosis I. Specific Mortality in Tuberculosis With the socio-economic changes in various countries and the tremendous progress made in the treatment of tuberculosis, the long-standing mortality rate of tuberculosis in the past has increasingly lost its importance as an epidemiological epidemiology The significance of the indicator. Because most TB patients no longer die of tuberculosis directly under current medical conditions, and as tuberculosis control is well under way, the elderly become a high age group of tuberculosis and many elderly tuberculosis patients will die of other common diseases of the elderly Such as cerebrovascular accident, heart disease, diabetes and cancer. In addition, at present, most developing countries have not yet established a strict death report and accreditation system, so it is difficult to obtain accurate death rates. As the phenomenon of false positives and false negatives are more serious, they can not be reflected