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目的分析《武威市结核病防治规划(2011—2015年)》实施情况,为结核病防控工作的可持续发展提供科学依据。方法收集2011—2015年武威市结核病防控工作的各类报表及基础资料,用Excel 2007软件建立数据库,采用Spss 13.0软件进行统计学分析。结果 2011—2015年,武威市累计报告活动性肺结核病患者8 148例,平均发病率90.04/10万,其中涂阳肺结核病发病率23.85/10万,涂阴肺结核病发病率66.19/10万;男性占62.11%、女性占37.89%,差异有统计学意义(χ2=451.47,P<0.05);18岁以下年龄组占0.82%,18~59岁年龄组占39.94%,60岁及以上年龄组占59.24%,不同年龄组构成比差异有统计学意义(χ2=357.95,P<0.05);不同年份发病的新涂阳患者(χ2=573.97)、复治涂阳患者(χ2=37.05)构成比逐渐下降,差异有统计学意义(均P<0.05);不同年份发病的初治涂阴患者(χ2=492.98)、重症涂阴患者(χ2=21.23)构成比逐渐上升,差异有统计学意义(均P<0.05);新涂阳患者(χ2=1.19)、复治涂阳患者(χ2=1.21)治愈率无明显变化,差异无统计学意义(均P>0.05);初治涂阴患者完成疗程率无明显变化,差异无统计学意义(χ2=8.22,P>0.05);复治涂阳患者治疗失败率明显高于初治患者,差异有统计学意义(χ2=98.07,P<0.05)。结论按照《武威市结核病防治规划(2011—2015年)》实施的防控工作成效显著,但应加强涂阴肺结核病的诊断和治疗管理,控制涂阴肺结核病的发展,降低对人群的危害。
Objective To analyze the implementation of the “Prevention and Control Plan of Tuberculosis in Wuwei City (2011-2015)” and provide a scientific basis for the sustainable development of tuberculosis prevention and control. Methods Various reports and basic data of tuberculosis prevention and control work in Wuwei City from 2011 to 2015 were collected. The database was built with Excel 2007 software, and the data were analyzed by using Spss 13.0 software. Results From 2011 to 2015, a total of 8 148 cases of active pulmonary tuberculosis were reported in Wuwei City with an average incidence of 90.04 / 100 000, of which smear positive pulmonary tuberculosis was 23.85 / 100 000 and smear negative pulmonary tuberculosis was 66.19 / 100 000. 62.11% of males and 37.89% of females, the difference was statistically significant (χ2 = 451.47, P <0.05); 0.82% for those under 18, 39.94% for 18-59, and 60 and over (Χ2 = 357.95, P <0.05). In the newly smear-positive patients (χ2 = 573.97) and retreatment smear-positive patients (χ2 = 37.05) in different age groups, the ratio of constitutional ratio was 59.24% (Χ2 = 492.98) and severe smear-negative patients (χ2 = 21.23) in different years with a statistically significant difference (all P <0.05) (Χ2 = 1.19), smear-positive patients (χ2 = 1.21), no significant difference was found in the cure rate (all P> 0.05) There was no significant difference in the course of treatment (χ2 = 8.22, P> 0.05). The failure rate of treatment of smear-positive patients was significantly higher than that of the newly diagnosed patients (χ2 = 9 8.07, P <0.05). Conclusion The prevention and control work carried out according to the “Plan of Tuberculosis Prevention and Control in Wuwei City 2011-2015” has achieved remarkable results. However, the diagnosis and treatment management of smear-negative pulmonary tuberculosis should be strengthened to control the development of smear-negative pulmonary tuberculosis and reduce the harm to the population.