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目的了解2009-2011年厦门市湖里区结核病流行病学特征,为提供预防性控制措施提供依据。方法对湖里区2009-2011年结核登记资料进行流行病学分析。结果 2009-2011年湖里区共登记活动性结核病人数为1 940例,年均登记率为97.36/10万,男女性别比1.93∶1,结核登记率在25~34岁达到高峰,结核病诊断类型以继发性肺结核(III型)为主(96.27%),就诊原因以转诊为主(45.26%),职业分布以工人为主(41.70%)。规范治疗率94.69%,治愈率89.38%,初治和复治结核患者规范治疗率和治愈率差异均有统计学意义(P<0.001)。结论湖里区应加强外来人口结核病防治工作,加强外来人口结核病宣传教育,提高外来人口结核病规范管理是今后防治工作的重点。
Objective To understand the epidemiological characteristics of tuberculosis in Huli District of Xiamen City from 2009 to 2011 and provide basis for preventive control measures. Methods Epidemiological analysis of TB registration data in Huli District from 2009 to 2011 was conducted. Results A total of 1 940 TB cases were registered in Huli District from 2009 to 2011, with an average annual enrollment rate of 97.36 / 100 000 and a male / female ratio of 1.93: 1. The tuberculosis registration rate peaked at 25 to 34 years. The type of tuberculosis diagnosis The main reason was secondary pulmonary tuberculosis (type III) (96.27%), referral was the main reason for referral (45.26%), occupational distribution was mainly worker (41.70%). The standard treatment rate was 94.69%, and the cure rate was 89.38%. There was significant difference between the standard treatment rate and the cure rate in the newly diagnosed and retreated tuberculosis patients (P <0.001). Conclusion Huli District should strengthen the prevention and control of tuberculosis among migrant workers, strengthen publicity and education on tuberculosis among migrants, and improve the standardized management of TB among migrant workers in the future.