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目的分析2001-2010年镇江市结核病控制项目的效果。方法对2001-2010年结核病控制项目报表和网络直报资料进行统计分析。结果镇江市可疑病人就诊人数逐年增加,其中因症就诊和转诊人数呈上升趋势;全市转诊和追踪到位较好,转诊到位率和追踪到位率明显提高;2010年活动性肺结核登记率为73.11/10万,涂阳肺结核登记率为40.67/10万;男性初治涂阳登记率明显高于女性(2=1 749.67,P<0.001);2010年65岁及以上组初治涂阳肺结核病人登记率达104.14/10万,2002-2010年初治涂阳和复治涂阳肺结核病人2月末痰检阴转率呈上升趋势。结论镇江市自2002年实施直接督导短程化疗(directly doserved treatment short-course,DOTS)策略,经过近10年努力,结核病防治效果显著。
Objective To analyze the effect of the TB control project in Zhenjiang City from 2001 to 2010. Methods Statistical analysis of TB control project reports and online direct reporting data from 2001 to 2010 was conducted. Results The number of suspicious patients in Zhenjiang City increased year by year, and the number of referral and follow-up visits due to the disease was on the rise. The referral and follow-up of the city was better, and the referral rate and follow-up rate significantly improved. In 2010, the registration rate of active tuberculosis 73.11 / 100000, the registration rate of smear positive pulmonary tuberculosis was 40.67 / 100000; the enrollment rate of smear positive in male was significantly higher than that in female (2 = 1 749.67, P <0.001); in 2010, Tuberculosis registration rate reached 104.14 / 100000, early 2002-2010 smear-positive and retreatment smear-positive pulmonary tuberculosis sputum test negative conversion rate at the end of February is on the rise. Conclusions Zhenjiang City implemented the direct doser treatment short-course (DOTS) strategy since 2002. After nearly 10 years of hard work, the prevention and treatment of tuberculosis has achieved remarkable results.