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目的了解柳州市近年来结核病发病以及流行状况,分析存在的影响因素,预测流行趋势,探讨防治措施。方法对2010-2012年柳州市结核病网络直报资料和病人系统管理资料进行描述性流行病分析。结果柳州市结核病疫情总体呈下降趋势(χ2=10.42,P<0.05),发病率平稳。男性多于女性;25~74岁年龄组占79.03%,有逐步向高年龄组发展的趋势;以农民工为主(占54.83%);3~9月份发病较多;柳州市市区以及所辖6县均有发病,其中融安县发病率最高。结论坚持实施现代结核病控制策略(Directly Observed Treatment Short-course,DOTS政策)和结核病“三位一体”综合防治模式,加强发现、规范化治疗和全程督导管理,以有效预防和控制结核病的发生和流行。
Objective To understand the incidence and prevalence of tuberculosis in Liuzhou City in recent years, analyze the influencing factors, predict the epidemic trend and discuss the prevention and treatment measures. Methods Descriptive epidemiological analysis of direct reporting data and patient system management data of tuberculosis in Liuzhou City from 2010 to 2012 was conducted. Results The overall outbreak of tuberculosis in Liuzhou showed a downward trend (χ2 = 10.42, P <0.05), and the incidence rate was stable. Male more than female; 25-74 years of age group accounted for 79.03%, with the gradual development trend to the higher age group; mainly migrant workers (accounting for 54.83%); more incidence in March to September; Liuzhou city and the Jurisdiction over 6 counties have incidence, of which the highest incidence of Rongan County. CONCLUSIONS: The implementation of the “Modernized Controlled Short-course” (DOTS) strategy and the “Trinity” comprehensive prevention and control model for tuberculosis should be implemented to enhance the detection and standardization of treatment and full supervision and management in order to effectively prevent and control the occurrence and prevalence of tuberculosis.