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目的分析池州市实现结核病三大控制目标后疫情动态和控制质量,为结核病防治提供决策依据。方法根据池州市2006~2007年结核病登记报表和专项调查进行结核病流行病学分析。结果2006~2007年池州市结核病新登记涂阳病人1 620例,涂阳病例占活动性肺结核病例的63.68%,涂阳新登记率为51.44/10万。新涂阳病人发现率为76.50%,治愈率为88.91%。疾病监测报告系统共报告肺结核病3 878例,发病率为123.13/10万,发病数位居全市甲乙类传染病报告发病之首。新发涂阳患者年龄仍以青壮年为主,男性多于女性,职业以农民为主。结论10年规划前5年结核病防治政策措施得力有效,今后防治政策、考核评价体系和指标有待改进和完善。农村男性,青壮年患者仍然是实施现代肺结核控制策略的重点。
Objective To analyze the epidemic situation and quality of control after achieving the three control objectives of tuberculosis in Chizhou and provide the basis for decision-making on tuberculosis prevention and treatment. Methods According to the report of tuberculosis registration in Chizhou City from 2006 to 2007 and the special investigation, the epidemiology of tuberculosis was analyzed. Results A total of 1 620 smear positive cases of tuberculosis were found in Chizhou from 2006 to 2007, accounting for 63.68% of cases of smear positive pulmonary tuberculosis and 51.44 / 100,000 smear positive cases. The smear-positive rate was 76.50%, the cure rate was 88.91%. A total of 3 878 cases of tuberculosis were reported by the disease surveillance reporting system, with an incidence rate of 123.13 / 100,000. The number of cases ranked first in the city for the reports of class A and B infectious diseases in the city. The new smear-positive patients are still mainly young and middle-aged, more males than females, occupations are dominated by peasants. Conclusion The policy and measures for tuberculosis prevention and control in the first five years of the 10-year plan have been effective and effective. In the future, prevention and control policies, assessment and evaluation systems and indicators need to be improved and perfected. Rural men and young patients are still the focus of the implementation of modern tuberculosis control strategies.