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目的了解石家庄市新涂阳肺结核病人特征,以采取更有效的防控措施。方法对2003—2007年石家庄市结核病控制工作季报表资料进行分析。结果2003—2007年石家庄市各级结防机构共登记新涂阳肺结核病人16865例,新涂阳肺结核病人平均登记率为36.61/10万。男性登记数和登记率均高于女性,登记率随年龄增长呈增高的趋势。15～25岁年龄组病人的登记数和占新涂阳总病人数的百分比均最高,15～54岁年龄组的新涂阳病人数占总病人数的66%。23个县、市区平均登记率波动在12.47/10万～44.82/10万。农村县(市)的新涂阳登记率高于石家庄市区,分别为33/10万、12/10万。新涂阳肺结核病人登记率与初诊病人占全人口比例呈正相关(r=0.705)。结论农村最具劳动能力的青壮年为重点发病人群。结核病仍是制约农村地区特别是贫困地区经济和社会发展的重大疾病之一,石家庄市的结核病防控工作的重点仍应放在农村。青年学生也是结核病的高发群体,学校的结核病控制工作应进一步加强。
Objective To understand the characteristics of new smear positive pulmonary tuberculosis patients in Shijiazhuang to take more effective prevention and control measures. Methods The data of quarterly reports on tuberculosis control work in Shijiazhuang from 2003 to 2007 were analyzed. Results From 2003 to 2007, a total of 16,665 cases of new smear-positive pulmonary tuberculosis patients were registered in the prevention and control agencies at all levels in Shijiazhuang City. The average registration rate of new smear-positive pulmonary tuberculosis patients was 36.61 / 100,000. The number of males and registrations were higher than those of females, and the enrollment rate tended to increase with age. The number of patients in the age group of 15-25 years and the percentage of the total number of new smear positive patients were the highest, while the number of new smear positive patients in the age group of 15-54 accounted for 66% of the total number of patients. 23 counties, urban average registration rate fluctuations in the 12.47 / 100,000 to 44.82 / 100,000. The registration rate of new smear-positive people in rural counties (cities) is higher than that of Shijiazhuang, accounting for 33/10 million and 12/10 respectively. The registration rate of new smear-positive pulmonary tuberculosis was positively correlated with the proportion of newly diagnosed patients in the total population (r = 0.705). Conclusion The most capable young people in rural areas are the most important disease-prone people. Tuberculosis is still one of the major diseases restricting the economic and social development in rural areas, especially in poverty-stricken areas. The prevention and control of tuberculosis in Shijiazhuang City should still be focused on rural areas. Young students are also a high incidence of tuberculosis. School tuberculosis control should be further strengthened.