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目的分析石家庄市12年来肺结核病疫情变化趋势。方法对石家庄市12年来的肺结核病防治工作的季报、月报以及肺结核病信息专报系统的各种资料进行收集、整理和描述性分析。结果 12年来石家庄市共登记活动性肺结核病人60 766人,年平均登记率54/10万,其中新涂阳36 936人;15~64岁组占全部新涂阳的80.3%,0~14岁组占全部新涂阳的0.4%,男女比为2.3︰1,除女性65岁以上组有增高的趋势外,其他年龄组无明显变化;职业分布以农民最多22 474例,占总病人数的76.1%,其次是学生2 237例,占总病人数的7.6%;农村县(市)活动性肺结核年平均登记率为61/10万,城区为29/10万。结论肺结核的疫情形势和发病特征12年来无明显变化,疫情仍然较重,且发病仍以农村的男性中青年为主,今后的防治重点仍应放在农村,但也要多关注学生和老年肺结核的防治。
Objective To analyze the changing trend of pulmonary tuberculosis in Shijiazhuang City for 12 years. Methods The collection, collation and descriptive analysis of all kinds of information about the report of tuberculosis prevention and control work in Shijiazhuang City in the past 12 years, monthly reports and information system of pulmonary tuberculosis were carried out. Results In the past 12 years, a total of 60 766 active tuberculosis patients were registered in Shijiazhuang City, with an average annual registration rate of 54/10 million, including 36 936 new smears and 80.3% of all new smears of sunspots aged 0-14 years Group accounted for 0.4% of all new smear positive, male to female ratio of 2.3: 1, except for women over the age of 65 have increased trend, no significant changes in other age groups; occupation distribution of up to 22,474 farmers, accounting for the total number of patients 76.1%, followed by 2 237 students, accounting for 7.6% of the total number of patients; the average annual registration rate of active tuberculosis in rural counties (cities) was 61/10 million and in urban areas 29/10 million. Conclusion The epidemic situation and incidence of pulmonary tuberculosis have not changed obviously in 12 years, the epidemic is still heavy, and the incidence is still dominated by young men and women in rural areas. The focus of future prevention and treatment should be placed in rural areas, but more attention should be paid to students and senile pulmonary tuberculosis Prevention and treatment.