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目的了解镇江市传染性肺结核流行特征及影响因素,总结防治工作经验。方法用人口标化方法,对镇江地区1992~2003年肺结核登记年报表、项目工作季报表、传染病疫情分析表等资料进行统计分析。结果镇江市12年结核病年平均新登记率43.21/10万,涂阳新登记率7.20/10万,痰涂片阳性检出率20.96%,未痰检率20.41%。涂阳登记率男性显著高于女性(u=5.37,P<0.01),是女性的2.29倍,与年龄成正相关(r=0.995 4,P<0.01),15~64岁人群涂阳病人占总数的79.2%。农民年平均新登率(56.12/10万)是其他职业人群(16.22/10万)的3.46倍。结论结核病控制工作的重点仍然在农村,DOTS策略的全面实施是结核病控制工作的关键。
Objective To understand the epidemic characteristics and influential factors of infectious tuberculosis in Zhenjiang City and summarize the prevention and control work experience. Methods Using the method of demographic standardization, statistical analysis was made on the annual reports of tuberculosis registration, project working season reports and epidemic situation analysis tables of infectious diseases in Zhenjiang from 1992 to 2003. Results The average new registration rate of tuberculosis in Zhenjiang City was 43.21 / lakh for 12 years. The newly registered smear-positive rate was 7.20 / lakh. The positive detection rate of sputum smear was 20.96% and that of unmixed sputum was 20.41%. The positive rate of smear positive men was significantly higher than that of females (u = 5.37, P <0.01), 2.29 times of that of females, positively correlated with age (r = 0.995 4, P <0.01) Of 79.2%. The annual average new rate of peasants (56.12 / 100,000) is 3.46 times that of other occupations (16.22 / 100,000). Conclusion The focus of tuberculosis control work is still in rural areas. The full implementation of DOTS strategy is the key to tuberculosis control.