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[目的]通过分析十堰市2001~2005年结核病疫情监测资料评价现行的防治措施效果。[方法]收集并分析十堰市2001~2005年结核病疫情监测报表。[结果]通过政府干预,引进项目,加强网络追踪和结核病归口管理,5年来共发现活动性肺结核10633例,其中新涂阳病人8187例,涂阳新登记率由2001年42.09/10万上升至2005年的55.94/10万,上升了13.85/10万,差异有统计学意义(χ2=29.85,P﹤0.01);初治涂阳男女之比为2.13︰1,年龄集中在15~35岁;登记涂阳病例1年转归队列分析初治涂阳治愈率为94.94%,复治涂阳治愈率为88.69%。[结论]十堰市2005年新涂阳肺结核登记率(55.94/10万)高于2005年全国新涂阳肺结核登记率(36.08/10万),提示十堰市新涂阳肺结核疫情较全国新涂阳肺结核严重;病人以男性和青壮年为主,此人群是今后结核病防治工作的重点。
[Objective] To evaluate the effect of the current prevention and cure measures by analyzing the monitoring data of tuberculosis outbreak in Shiyan from 2001 to 2005. [Method] Collecting and analyzing the monitoring report of tuberculosis epidemic in Shiyan from 2001 to 2005. [Results] 10633 cases of active tuberculosis were found in 5 years, including 8,187 cases of new smear positive cases and the new registration rate of smear positive cases increased from 42.09% in 2001 to about 2005 cases by government intervention, introduction of projects, strengthening of network tracking and centralized management of tuberculosis. Year (55.94 / 100000, an increase of 13.85 / 100000, the difference was statistically significant (χ2 = 29.85, P <0.01); first smear positive ratio of male to female was 2.13: 1, the age at 15 to 35 years of age; Smear-positive cases of 1-year cohort analysis of cure rate of 94.94% smear-positive, cure cure cure rate was 88.69%. [Conclusion] The registration rate of new smear-positive pulmonary tuberculosis (55.94 / 100000) in Shiyan was higher than that of new smear-positive pulmonary tuberculosis in 2005 (36.08 / 100000) in 2005, which indicated that the epidemic situation of new smear-positive pulmonary tuberculosis in Shiyan was higher than that of new smear positive Tuberculosis is serious; patients are mainly male and young adults, this population is the focus of tuberculosis prevention and control in the future.