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目的了解2006—2012年大丰市大中社区肺结核流行特征,为制定防治对策和开展防治工作提供科学依据。方法采用描述流行病学方法,对大中社区2006—2012年肺结核登记、管理及服药情况等数据进行分析。结果 2006—2012年共登记管理547例肺结核,大中社区活动性肺结核、涂阳肺结核、初治涂阳肺结核及复治涂阳的登记率分别由2006年的53.31/10万、32.11/10万、26.44/10万、5.67/10,万下降为2012年的47.63/10万、13.10/10万、11.91/10万、1.19/10万。发病年龄主要集中在35~74岁,男女性别比为2.3∶1,职业以农民为主,复治病人多为55岁以上老年人。结论应将结核病控制工作的重点放到农村,提高基层医务人员的防治技术水平,提高肺结核患者的发现率,规范管理现症病人,以控制结核病疫情。
Objective To understand the epidemiological characteristics of tuberculosis in Dazhong communities in Dafeng City from 2006 to 2012 and to provide scientific evidence for the development of prevention and control measures. Methods Descriptive epidemiological methods were used to analyze data of tuberculosis registration, management and medication taking in large and medium-sized communities from 2006 to 2012. Results From 2006 to 2012, the registration rates of 547 cases of tuberculosis, large and medium-sized communities of active tuberculosis, smear positive tuberculosis, initial smear positive tuberculosis and retreatment smear positive were increased from 53.31 / 100000 in 2006 to 32.11 / 100000 , 26.44 / 10 million, 5.67 / 10, down from 47.63 / 100,000 in 2012, 13.10 / 100,000, 11.91 / 100,000, 1.19 / 100,000. Age of onset mainly concentrated in the 35 to 74 years old, male to female ratio was 2.3: 1, the main occupation of farmers, rehabilitation patients and more for the elderly over the age of 55. Conclusion The focus of tuberculosis control should be placed on rural areas, improve the prevention and treatment of grassroots medical personnel, improve the detection rate of tuberculosis patients, standardize the management of patients with existing disease to control the tuberculosis outbreak.