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[目的]通过分析山东省结核病疫情,探讨进一步加强山东省结核病控制的措施。[方法]根据1979年、1984年、1990年和2000年4次结核病流行病学调查资料和山东省结核病控制工作季报表资料分析山东省结核病流行状况及趋势。[结果]4次结核病流调活动性患病率分别为490/10万、311/10万、198/10万和192/10万;涂阳患病率分别为134/10万、91/10万、60/10万和57/10万。涂阳病人登记率和涂阳病人治愈率逐年提高。[结论]山东省结核病疫情呈下降趋势,但需继续加大政府投入,全面实施遏制结核病策略,加强病人的督导管理,控制耐药病例的产生,才能有效地控制结核病的流行。
[Objective] By analyzing the epidemic situation of tuberculosis in Shandong Province, the measures to further strengthen the control of tuberculosis in Shandong Province were explored. [Method] According to the epidemiological survey data of tuberculosis in 1979, 1984, 1990 and 2000 and the quarterly report form of tuberculosis control work in Shandong Province, the epidemic situation and trend of tuberculosis in Shandong Province were analyzed. [Results] The prevalence rates of the four epidemics of tuberculosis were 490/10 million, 311/10 million, 198/10 million and 192/10 million respectively. The prevalence of smear-positive smear was 134/10, 91/10 Million, 60/10 million and 57/10 million. Sputum patient registration rate and the cure rate of smear-positive patients increased year by year. [Conclusion] The epidemic situation of tuberculosis in Shandong showed a downward trend. However, it is necessary to continue to increase the government investment, implement the strategy of curbing tuberculosis in an all-round way, strengthen patient supervision and management and control the emergence of drug-resistant cases so as to effectively control the prevalence of tuberculosis.